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Individual

ATHENEA ANN NMI DESOTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
825 JADWIN AVE STE 250, RICHLAND, WA 99352-3589
(509) 946-1020
(509) 946-0827
Mailing address
825 JADWIN AVE STE 250, RICHLAND, WA 99352-3589
(509) 946-1020
(509) 946-0827

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SUDP00006313
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
WA

Other

Enumeration date
03/29/2022
Last updated
03/29/2022
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