Individual
MS. HALLE ZIRA GOLDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP
Contact information
Practice address
614 PETERSON RD, BURLINGTON, WA 98233-2606
(360) 757-0131
Mailing address
614 PETERSON RD, BURLINGTON, WA 98233-2606
(360) 757-0131
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO60838734
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP61128194
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356821078
—
WA
Enumeration date
08/21/2018
Last updated
03/09/2021
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