Individual
AMIE-JO BRASSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDPT
Contact information
Practice address
900 FIR ST, LONGVIEW, WA 98632-2544
(360) 575-3316
Mailing address
PO BOX 2429, LONGVIEW, WA 98632-8486
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60739973
WA
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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