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Individual

KATHERINE J VERTREES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
B.A.

Contact information

Practice address
708 PENN ST, MOSES LAKES, WA 98823
(509) 764-5206
(509) 764-5207
Mailing address
708 E PENN ST, MOSES LAKE, WA 98837-1809
(509) 764-5206
(509) 764-5207

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000319, NCRC I
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00003161
WA

Other

Enumeration date
01/09/2007
Last updated
07/08/2007
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