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Individual

VERDELL MELODY HENDRICKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CDP

Contact information

Practice address
15455 65TH AVE S, TUKWILA, WA 98188-2534
(206) 721-5170
(206) 721-6288
Mailing address
PO BOX 190, SAINT STEPHENS, WY 82524-0190
(307) 856-0470
(307) 857-4383

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
156
WY
101YA0400X
Addiction (Substance Use Disorder) Counselor
60749932
WA

Other

Enumeration date
02/24/2017
Last updated
07/21/2022
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