Individual
CECILIA YACOBIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP-T
Contact information
Practice address
661 TAYLOR ST, PORT ORCHARD, WA 98366-4300
(360) 337-4625
Mailing address
527 RADEY ST, PORT ORCHARD, WA 98366-3235
(818) 554-7243
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61135830
WA
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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