Individual
MS. SUE SELF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PEER COUNSELOR
Contact information
Practice address
1302 TACOMA AVE S, SUITE #306, TACOMA, WA 98402-1906
(253) 396-5000
(253) 383-5548
Mailing address
1305 TACOMA AVE S, SUITE#306, TACOMA, WA 98402-1903
(253) 396-5000
(253) 383-5548
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CG60251015
WA
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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