Individual
MISS ANNA MARIE SHALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
311 S I ST, ABERDEEN, WA 98520-6615
(360) 787-9319
(360) 637-8722
Mailing address
921 14TH AVENUE, LONGVIEW, WA 98632
(360) 423-0203
(360) 577-0269
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00006146
WA
Other
Enumeration date
07/09/2010
Last updated
11/04/2019
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