Individual
SIDRA AELE ING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
917 PACIFIC AVE STE 212, TACOMA, WA 98402-4433
(253) 480-5506
(253) 480-5507
Mailing address
11962 44TH AVE S, TUKWILA, WA 98178-3477
(253) 480-5506
(253) 480-5507
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG.70027770
WA
175T00000X
Peer Specialist
Primary
CG.70027770
WA
Other
Enumeration date
05/07/2026
Last updated
05/08/2026
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