Individual
MARK LOES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SUPD, MBA
Contact information
Practice address
2280 STATE ROUTE 821, YAKIMA, WA 98901-8302
(509) 969-0092
Mailing address
9104 COOLIDGE RD, YAKIMA, WA 98903-6901
(509) 969-0092
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP 00004276
WA
Other
Enumeration date
05/11/2017
Last updated
01/14/2021
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