Individual
ENRIQUE ISMAEL ESPINOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 N 2ND ST, YAKIMA, WA 98901-2334
(509) 469-9366
Mailing address
PO BOX 376, YAKIMA, WA 98907-0376
(509) 469-9366
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61364087
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO61364087
PROFESSONAL LICENSE
WA
Enumeration date
11/04/2022
Last updated
11/04/2022
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