Individual
MR. ANTHONY LEE PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO60795172
Contact information
Practice address
120 S 3RD ST, YAKIMA, WA 98901-2875
(509) 853-4159
Mailing address
1208 S 7TH AVE, YAKIMA, WA 98902-5503
(509) 833-1746
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO60795172
WA
101YM0800X
Mental Health Counselor
Primary
LH61262909
WA
Other
Enumeration date
10/24/2018
Last updated
05/20/2022
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