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Individual

CORINA ALEEN ROULLIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SUDPT

Contact information

Practice address
12715 E MISSION AVE, SPOKANE VALLEY, WA 99216-1027
(509) 606-8500
Mailing address
29404 N DUNN RD, CHATTAROY, WA 99003-8763
(509) 216-5713

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61301342
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CO61301342
SUDPT
WA
Enumeration date
01/11/2023
Last updated
01/11/2023
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