Individual
MARISA NETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CO 60481690
Contact information
Practice address
1601 E 4TH PLAIN BLVD, VANCOUVER, WA 98661-3713
(360) 397-8246
Mailing address
PO BOX 1678, VANCOUVER, WA 98668-1678
(360) 397-8246
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60481690
WA
Other
Enumeration date
01/25/2016
Last updated
02/19/2016
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