Individual
HAILEY MARAE ROWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
702 FRANKLIN AVE, SUNNYSIDE, WA 98944
(509) 837-7700
Mailing address
702 FRANKLIN AVE, SUNNYSIDE, WA 98944
(509) 837-7700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60986309
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91-0755984
—
WA
Enumeration date
09/11/2019
Last updated
05/07/2020
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