Individual
NADIA H HAIJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
614 DIVISION ST # 19, PORT ORCHARD, WA 98366-4614
(360) 337-4625
Mailing address
614 DIVISION ST # 19, PORT ORCHARD, WA 98366-4614
(360) 337-4625
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60214188
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062953
—
WA
Enumeration date
12/17/2018
Last updated
12/17/2018
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