Individual
CONNIE HYLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
500 SE WASHINGTON AVE, CHEHALIS, WA 98532-3058
(360) 748-4776
(360) 219-9762
Mailing address
500 SE WASHINGTON AVE, CHEHALIS, WA 98532-3058
(360) 748-4776
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60923727
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO60923727
CHEMICAL DEPENDENCY COUNSELOR INTERN
WA
Enumeration date
07/18/2019
Last updated
10/28/2019
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