Individual
DJ DRAKE JAMES LAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDP
Contact information
Practice address
505 SE ADAMS AVE, CHEHALIS, WA 98532-3031
(360) 266-5029
(360) 200-0135
Mailing address
505 SE ADAMS AVE, CHEHALIS, WA 98532-3031
(360) 266-5029
(360) 200-0135
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00005043
WA
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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