Individual
MS. DONNETTE K VANTRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7507 NE 51ST ST, VANCOUVER, WA 98662-6007
(360) 906-1190
Mailing address
7507 NE 51ST ST, VANCOUVER, WA 98662-6007
(360) 906-1190
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00000769
WA
Other
Enumeration date
01/26/2016
Last updated
07/21/2022
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