Individual
CHERYL DEANE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 SE WHITENER RD, SHELTON, WA 98584-7747
(360) 426-1582
Mailing address
100 SE WHITENER RD, SHELTON, WA 98584-7747
(360) 426-1582
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60416021
WA
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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