Individual
CARLA PHANEUF VILTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, CDP
Contact information
Practice address
232 2ND AVE S STE 201, KENT, WA 98032-5862
(253) 859-0300
Mailing address
232 2ND AVE S STE 201, KENT, WA 98032-5862
(253) 859-0300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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