Individual
TAMMY JEAN BACIGALUPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
200 LILLY RD NE STE C, OLYMPIA, WA 98506-5080
(360) 918-8336
(360) 972-2152
Mailing address
31 E BLEVINS RD S, SHELTON, WA 98584-9106
(360) 281-8868
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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