Organization
NEW LIFE ADDICTION AND RECOVERY SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE MELANIE BUFORD MA, LMHCA, CDPT (CEO)
(206) 407-3333
Entity
Organization
Contact information
Practice address
5019 GROVE ST # 103A, MARYSVILLE, WA 98270-4487
(206) 407-3333
Mailing address
5019 GROVE ST # 103A, MARYSVILLE, WA 98270-4487
(206) 407-3333
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP 60535562
WA
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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