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Individual

MARCIA G HOLTHAUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BS, CDP

Contact information

Practice address
900 7TH ST, CLARKSTON, WA 99403-2005
(509) 758-3341
(509) 769-6057
Mailing address
900 7TH ST, CLARKSTON, WA 99403-2005
(509) 758-3341
(509) 769-6057

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00005624
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CP00005624
STATE LICENSE
WA
Enumeration date
03/11/2008
Last updated
03/11/2008
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