Individual
ALICIA D SOVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
1131 BROADWAY ST, LONGVIEW, WA 98632-3830
(360) 998-3050
(360) 200-6736
Mailing address
PO BOX 2394, LONGVIEW, WA 98632-8455
(360) 200-5419
(360) 200-6736
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CO61223506
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2205604
—
WA
Enumeration date
02/21/2022
Last updated
12/02/2024
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