Individual
PATTY NYGAARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4109 HOLIDAY AVE, UNION GAP, WA 98903
(509) 654-0860
Mailing address
4109 HOLIDAY AVE, UNION GAP, WA 98903-2108
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60777230
WA
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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