Individual
JOAN H BUNNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
2121 S 19TH ST, TACOMA, WA 98405-2922
(253) 280-9876
Mailing address
7816 S WILKESON ST, TACOMA, WA 98408-1117
(253) 759-7873
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00001009
WA
Other
Enumeration date
08/22/2011
Last updated
05/14/2014
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