Individual
JANA RUTH HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
19201 120TH AVE NE STE 108, BOTHELL, WA 98011-9523
(425) 485-6541
Mailing address
19201 120TH AVE NE STE 108, BOTHELL, WA 98011-9523
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00005217
WA
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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