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Organization

CHOICE WELLNESS CENTERS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ESTELA UY CLEMENTE PHARM.D. (CEO)
(360) 787-2902
Entity
Organization

Contact information

Practice address
1610 C STREET, SUITE 102, VANCOUVER, WA 98663
(360) 787-2125
(360) 787-2625
Mailing address
1610 C ST STE 102, VANCOUVER, WA 98663-3400
(360) 787-2125
(360) 787-2625

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60494259
WA
207QA0401X
Addiction Medicine (Family Medicine) Physician
MD60120618
WA
251B00000X
Case Management Agency
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Enumeration date
10/06/2017
Last updated
12/31/2018
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