Individual
MAGDALENA LAVECCHIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C061117076 SUDPT
Contact information
Practice address
18490 SUQUAMISH WAY NE, SUQUAMISH, WA 98392-9532
(360) 394-8558
Mailing address
PO BOX 1228, SUQUAMISH, WA 98392-1228
(360) 394-8558
(360) 598-1724
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61117076
WA
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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