Individual
CECELIA MILLER CANSINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4804 LACEY BLVD SE, LACEY, WA 98503-5733
(360) 799-5782
Mailing address
4804 LACEY BLVD SE, LACEY, WA 98503-5733
(360) 799-5782
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC60898691
WA
Other
Enumeration date
11/10/2018
Last updated
11/10/2018
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