Individual
DARLA WAYNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CP60387971
Contact information
Practice address
3629 S D ST, TACOMA, WA 98418-6813
(253) 649-1406
Mailing address
1638 119TH ST S, TACOMA, WA 98444-2430
(253) 973-4577
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60387971
WA
Other
Enumeration date
04/30/2015
Last updated
04/21/2023
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