Individual
MRS. ALEXIS C.L. ZIADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP
Contact information
Practice address
727 N TOWER AVE, CENTRALIA, WA 98531
(360) 827-0264
Mailing address
727 N TOWER AVE, CENTRALIA, WA 98531-4754
(360) 827-0264
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
60724555
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
61096029
WA
Other
Enumeration date
09/13/2018
Last updated
10/31/2024
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