Individual
MARY BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
15314 NE DOLE VALLEY RD, YACOLT, WA 98675-9521
(360) 260-6300
(360) 686-3966
Mailing address
15314 NE DOLE VALLEY RD, YACOLT, WA 98675-9521
(360) 260-6300
(360) 686-3966
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00001919
WA
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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