Individual
ALFRED PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, DCR, AAC
Contact information
Practice address
1601 E 4TH PLAIN BLVD BLDG 17, VANCOUVER, WA 98661-3717
(360) 397-8198
Mailing address
PO BOX 5000, VANCOUVER, WA 98666-5000
(360) 397-8198
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CG60211393
WA
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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