Individual
MISS RAE ANN WELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP
Contact information
Practice address
3430 E HIGHWAY 101 STE 3, PORT ANGELES, WA 98362-9069
(360) 452-4062
Mailing address
3430 E HIGHWAY 101 STE 3, PORT ANGELES, WA 98362-9069
(360) 452-4062
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61296147
WA
Other
Enumeration date
02/06/2019
Last updated
11/08/2022
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