Individual
MAGUEN LANDA-SAMANO DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 GERMANTOWN RD, TOPPENISH, WA 98948-9605
(509) 832-3124
Mailing address
220 GERMANTOWN RD, TOPPENISH, WA 98948-9605
(509) 832-3124
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60834054
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60834054
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
10/03/2018
Last updated
10/03/2018
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