Individual
MS. MEAGAN MELISSA BASGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CO61246259
Contact information
Practice address
305 PACIFIC AVE S STE C, KELSO, WA 98626-1638
(360) 425-5378
(360) 425-5990
Mailing address
305 PACIFIC AVE S STE C, KELSO, WA 98626-1638
(360) 425-5378
(360) 425-5990
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/27/2021
Last updated
12/27/2021
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