Individual
TONI CULBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
721 FAWCETT AVE, TACOMA, WA 98402-5502
(253) 284-9022
Mailing address
26823 312TH AVE SE, RAVENSDALE, WA 98051-9626
(206) 390-1466
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60943883
WA
Other
Enumeration date
05/10/2019
Last updated
05/10/2019
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