Individual
MS. GLORIA JEANNE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
1601 E FOURTH PLAIN BLVD, VANCOUVER, WA 98661-3753
(360) 397-4286
(360) 397-8450
Mailing address
PO BOX 1678, VANCOUVER, WA 98668-1678
(360) 397-4286
(360) 397-8450
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
CP60026470
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RC00055291
CHEMICAL DEPENDENCY PROFESSIONAL
WA
Enumeration date
06/09/2008
Last updated
06/11/2013
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