Individual
MARGUERITE GLORY ANNA CHRISTENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
8645 MARTIN WAY E, LACEY, WA 98516-5851
(360) 515-0070
(360) 915-6792
Mailing address
420 MAIN ST, MCCLEARY, WA 98557-9614
(509) 952-9791
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61109039
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
08/08/2018
Last updated
01/21/2022
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