Individual
ALICE BULEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1902 96TH ST S, TACOMA, WA 98444-2808
(253) 536-2881
Mailing address
1902 96TH ST S, TACOMA, WA 98444-2808
(253) 536-2881
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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