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Individual

MS. CHLOE LOUIS-JEMEICA GUSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CDPT

Contact information

Practice address
2280 SR 821, YAKIMA, WA 98901
(509) 457-0990
Mailing address
PO BOX 217, SELAH, WA 98942-0217
(509) 457-0990
(509) 454-4548

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60753501
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CO60753501
CDPT
WA
Enumeration date
11/01/2018
Last updated
11/01/2018
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