Individual
STEVEN RAY CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CERTIFIED COUNSELOR
Contact information
Practice address
1504 S 21ST PL, RIDGEFIELD, WA 98642-8017
(360) 727-6558
Mailing address
PO BOX 251, RIDGEFIELD, WA 98642-0251
(360) 727-6558
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
CL 60302224
WA
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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