Individual
TINA MARIE EASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPC RC SUDPT
Contact information
Practice address
1227 2ND ST, MARYSVILLE, WA 98270-4906
(360) 651-2366
Mailing address
3017 SAUK DR, CAMANO ISLAND, WA 98282-8232
(425) 387-3634
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
61283707
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO60938049
WA
Other
Enumeration date
05/03/2018
Last updated
05/18/2022
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