Individual
MARIBEL CORTEZ NEANOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CO61304505
Contact information
Practice address
211 CASECO LN, PORT ORCHARD, WA 98366-4701
(702) 496-5363
Mailing address
211 CASECO LN, PORT ORCHARD, WA 98366-4701
(702) 496-5363
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61304505
WA
Other
Enumeration date
05/27/2022
Last updated
05/27/2022
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