Individual
JOSE-MANUEL PINEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
409 CUSTER WAY SE, SUITE D, TUMWATER, WA 98501-3350
(360) 704-7590
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(360) 704-7590
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60592854
WA
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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