Individual
CARMENLITA LADONNA SOLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 HIGHLAND DR, BUENA, WA 98921-0139
(509) 865-6705
Mailing address
120 S 3RD ST, YAKIMA, WA 98901-2875
(509) 248-1800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60942835
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91-0755984
—
WA
Enumeration date
09/22/2019
Last updated
09/22/2019
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