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Individual

SARA THORNTON SOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PEER COUNSELOR

Contact information

Practice address
884 W PARK AVE, PORT TOWNSEND, WA 98368-2273
(360) 385-0321
Mailing address
PO BOX 565, PORT TOWNSEND, WA 98368-0565

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
MC61247527
WA
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61202438
WA
175T00000X
Peer Specialist
CG61246155
WA

Other

Enumeration date
11/22/2021
Last updated
10/18/2022
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