Individual
MRS. TISHINA LORRAYNE DUNLAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
2280 STATE ROUTE 821, YAKIMA, WA 98901-8302
(509) 457-0990
Mailing address
PO BOX 252, BENTON CITY, WA 99320-0252
(541) 519-6181
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
61354420
WA
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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