Individual
DIANA CAROLINA MENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10001 17TH PL S, SEATTLE, WA 98168-1615
(206) 766-6976
Mailing address
10001 17TH PL S, SEATTLE, WA 98168-1615
(206) 766-6976
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SC60407000
WA
Other
Enumeration date
10/15/2012
Last updated
06/30/2014
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