Individual
SHAUNA VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2280 SR 821, YAKIMA, WA 98901
(509) 457-0990
Mailing address
1717 PICKENS LOOP, YAKIMA, WA 98908-2051
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
61266238
WA
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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