Individual
ARLEEN DALE DULL I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CP 0002019
Contact information
Practice address
1501 CEDAR LN, SELAH, WA 98942-1700
(509) 697-5486
Mailing address
1501 CEDAR LN, SELAH, WA 98942-1700
(509) 697-5486
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP0002019
WA
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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