Individual
LINDA LOU DIPIETRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7415 NE 94TH AVE, VANCOUVER, WA 98662-3859
(360) 254-2365
Mailing address
13217 NE 59TH ST, 103, VANCOUVER, WA 98682-5312
(360) 254-2365
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
WA
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
CG60193148
WA
Other
Enumeration date
01/16/2016
Last updated
01/16/2016
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