Individual
CARA A GRESHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, SUDP, LICSW
Contact information
Practice address
2608 KWINA RD, BELLINGHAM, WA 98226-9291
(360) 312-2000
Mailing address
2592 KWINA RD, BELLINGHAM, WA 98226-9278
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP 60416986
WA
104100000X
Social Worker
Primary
LW60661788
WA
Other
Enumeration date
09/24/2009
Last updated
05/07/2024
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