Individual
PATRICIA J HARLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP, RC;BA;
Contact information
Practice address
17337 RESERVATION RD, LA CONNER, WA 98257-8802
(360) 466-1024
(360) 466-7364
Mailing address
17337 RESERVATION RD, LA CONNER, WA 98257-8802
(425) 791-4946
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00004946
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1994565
—
WA
Enumeration date
09/02/2009
Last updated
11/06/2012
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