Individual
ANFERNY VICTORIA NOVELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6005 TYEE DR SW, TUMWATER, WA 98512-7356
(360) 464-6700
Mailing address
3800 ENSIGN RD NE APT H52, OLYMPIA, WA 98506-5059
(360) 932-8968
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/22/2021
Last updated
12/22/2021
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