Individual
MS. IOLANDA DERUITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
1255 S 216TH ST, DES MOINES, WA 98198-8320
(206) 824-2492
Mailing address
1255 S 216TH ST, DES MOINES, WA 98198-8320
(206) 824-2492
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00000958
WA
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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