Individual
MRS. EILENE LAREE RICKENBACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
716 S CHASE ST, PORT ANGELES, WA 98362-6122
(360) 395-2976
(360) 395-2977
Mailing address
716 S CHASE ST, PORT ANGELES, WA 98362-6122
(360) 395-2976
(360) 395-2977
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60956969
WA
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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