Individual
TABITHA M ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5915 ORCHARD ST W, TACOMA, WA 98467-3824
(253) 414-7461
Mailing address
3635 FAWCETT AVE, TACOMA, WA 98418-6847
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CG61466019
WA
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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