Individual
TAMRA ANN EDMONDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1211 MERRIAM ST, DAVENPORT, WA 99122-8654
(509) 725-3001
Mailing address
165 E HAWTHORNE AVE, COLVILLE, WA 99114-2629
(509) 684-4597
(509) 724-2141
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60746669
WA
Other
Enumeration date
11/19/2018
Last updated
10/19/2023
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