Individual
PATRICIA ANNE TABOADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 S LANE ST, SEATTLE, WA 98144-2810
(206) 602-4889
Mailing address
2021 S PLUM ST, STE A, SEATTLE, WA 98144
(206) 441-3043
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60493396
WA
Other
Enumeration date
12/16/2018
Last updated
02/11/2022
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