Individual
LATOYA EVANGELYN KAUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
17337 RESERVATION RD, LA CONNER, WA 98257-8802
(360) 466-1024
(360) 466-7364
Mailing address
11017 TALLAWHALT WAY, LA CONNER, WA 98257-9443
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61357112
WA
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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