Individual
JOSE ANTONIO OCHOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDPT
Contact information
Practice address
106 N ELM ST, GRANDVIEW, WA 98930-1009
(509) 402-9090
(866) 974-8679
Mailing address
PO BOX 748, GRANDVIEW, WA 98930-0748
(509) 402-9090
(866) 974-8679
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61155458
WA
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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