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Individual

MRS. JULI LEONARD BUCHMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CDP

Contact information

Practice address
1912 W 18TH ST, PORT ANGELES, WA 98363-5121
(360) 565-2633
Mailing address
1912 W 18TH ST, PORT ANGELES, WA 98363-5121
(360) 565-2633

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP 00004522
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1326139528
WA
Enumeration date
03/16/2017
Last updated
03/16/2017
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