Individual
CHELSEA FOSMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6005 TYEE DR SW, TUMWATER, WA 98512-7356
(360) 464-6874
Mailing address
6005 TYEE DR SW, TUMWATER, WA 98512-7356
(360) 464-6874
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO61555432
WA
Other
Enumeration date
10/08/2008
Last updated
05/10/2024
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