Individual
MARCIE GANUELAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CO60951248
Contact information
Practice address
20 GUNYON RD, TOPPENISH, WA 98948
(509) 865-5121
Mailing address
120 S 3RD ST, YAKIMA, WA 98901-2875
(509) 248-1800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60951248
WA
Other
Enumeration date
06/25/2019
Last updated
06/25/2024
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