Individual
RANDA NICOLE WASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 HIGHLAND DR, BUENA, WA 98921-0139
(509) 865-6705
(509) 865-5011
Mailing address
PO BOX 354, BUENA, WA 98921-0354
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
247000000X
Health Information Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91-0755984
—
WA
Enumeration date
02/07/2020
Last updated
02/07/2020
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