Organization
INNOVATION RESOURCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIE ELENA GUERRER MSW, NCACI, SAP, CDP (CLINICAL DIRECTOR)
(509) 836-2400
Entity
Organization
Contact information
Practice address
214 S 6TH ST, UNIT #3, SUNNYSIDE, WA 98944-1446
(509) 836-2400
(509) 836-2400
Mailing address
PO BOX 953, SUNNYSIDE, WA 98944-0953
(509) 836-2400
(509) 836-2400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00006228
WA
Other
Enumeration date
04/05/2012
Last updated
04/05/2012
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