Individual
MS. JUNE OBRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
81 SE PAULCYN LN, SHELTON, WA 98584-9378
(360) 427-9613
Mailing address
81 SE PAULCYN LANE, SHELTON, WA 98584-1234
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00000135
WA
Other
Enumeration date
04/23/2009
Last updated
04/23/2009
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