Individual
ELIAZAR ISLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
660 GEORGE WASHINGTON WAY, SUITE B, RICHLAND, WA 99352-4246
(509) 946-8778
(509) 946-3887
Mailing address
660 GEORGE WASHINGTON WAY, SUITE B, RICHLAND, WA 99352-4246
(509) 946-8778
(509) 946-3887
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
RC00024546
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP00001960
WA
Other
Enumeration date
11/29/2007
Last updated
05/01/2008
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