Individual
CHARLENE ABRAHAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
308 E YOUNG ST, ELMA, WA 98541
(360) 482-2674
Mailing address
BOX 477, ELMA, WA 98541
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00005106
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP00005106
CHEMICAL DEPENDENCY PROF
WA
Enumeration date
12/03/2007
Last updated
12/03/2007
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