Individual
SELENE MEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3350 AIRPORT DR, BELLINGHAM, WA 98226-7696
(360) 734-5458
(360) 734-5298
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-0502
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CO 60548706
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C060548706
WA
Other
Enumeration date
04/06/2015
Last updated
03/30/2016
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