Individual
MINERVA J ETAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP-T
Contact information
Practice address
716 S CHASE ST, PORT ANGELES, WA 98362-6122
(360) 395-2976
Mailing address
828 E 4TH ST APT 102, PORT ANGELES, WA 98362-3805
(360) 808-5602
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDPT.CO.61580505
WA
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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