Individual
STEVE R OURADNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3703 W KENNEWICK AVE APT D326, KENNEWICK, WA 99336-2883
(509) 952-7501
Mailing address
3703 W KENNEWICK AVE APT D326, KENNEWICK, WA 99336-2883
(509) 952-7501
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60202575
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CO60202575
—
WA
Enumeration date
08/14/2019
Last updated
08/14/2019
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