Individual
DEEPEKA TAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
17123 120TH LN SE APT S303, RENTON, WA 98058-5992
(253) 433-2272
Mailing address
17123 120TH LN SE APT S303, RENTON, WA 98058-5992
(253) 433-2272
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61113567
WA
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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