Individual
ALVIN ALOYSIUS SOMOL TAGABUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CP61350757
Contact information
Practice address
1601 E FOURTH PLAIN BLVD, VANCOUVER, WA 98661-3713
(260) 397-8246
Mailing address
11806 NE 122ND AVE # E035, VANCOUVER, WA 98682-2256
(360) 831-8382
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP61350757
WA
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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