Individual
MISS THERESA ISLA PIATANESI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDPT
Contact information
Practice address
105 NW 1ST ST., COUPEVILLE, WA 98239-0160
(360) 682-4004
(360) 678-3636
Mailing address
PO BOX 160, COUPEVILLE, WA 98239-0160
(360) 682-4004
(360) 678-3636
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RC00053356
WA
Other
Enumeration date
08/29/2006
Last updated
07/13/2007
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