Individual
ELIZABETH LOPEZ CALVILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDPT
Contact information
Practice address
8615 14TH AVE S, SEATTLE, WA 98108-4806
(206) 461-4880
Mailing address
8615 14TH AVE S, SEATTLE, WA 98108-4806
(206) 461-4880
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60709254
WA
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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