Individual
MARY L. FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDPT
Contact information
Practice address
120 S 3RD ST, YAKIMA, WA 98901-2875
(509) 248-1800
Mailing address
402 N 4TH ST, SUITE 300, YAKIMA, WA 98901-2470
(509) 453-9387
(509) 453-2716
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
00053198
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00053198
REGISTERED COUNSELOR
WA
Enumeration date
08/08/2007
Last updated
12/20/2023
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