Individual
MARK ALAN STAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1007 KOALA DR, OMAK, WA 98841-9247
(509) 826-8409
Mailing address
1007 KOALA DR, OMAK, WA 98841-9247
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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