Individual
MS. JANICE MARIE BARRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
560 QUILEUTE HEIGHTS, LA PUSH, WA 98350
(360) 374-4317
(360) 374-4319
Mailing address
2152 ALABAMA ST, LONGVIEW, WA 98632-1207
(360) 374-4317
(360) 374-4319
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00000585
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000585
DEPARTMENT OF HEALTH
WA
Enumeration date
08/13/2014
Last updated
08/13/2014
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