Individual
DEBRA LYNN MAINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDPR
Contact information
Practice address
224 N 7TH AVE, PASCO, WA 99301-5411
(509) 545-4462
(509) 545-8076
Mailing address
224 N 7TH AVE, PASCO, WA 99301-5411
(509) 545-4462
(509) 545-8076
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
60810833
WA
163W00000X
Registered Nurse
Primary
RN00145819
WA
Other
Enumeration date
08/30/2018
Last updated
12/09/2020
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