Individual
PERRY ALLEN LANDRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO61106327
Contact information
Practice address
5001 112TH ST E, TACOMA, WA 98446-5307
(253) 238-7217
Mailing address
5001 112TH ST E, TACOMA, WA 98446-5307
(253) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61106327
WA
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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