Individual
ASHLEY BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COUNSELOR
Contact information
Practice address
322 S BIRCH ST, MCCLEARY, WA 98557-9522
(360) 205-4750
Mailing address
322 S BIRCH ST, MCCLEARY, WA 98557-9522
(360) 205-4750
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG61471302
WA
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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