Individual
TAMMIE L HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
1210 SW 136TH ST, BURIEN, WA 98166-1214
(206) 241-0990
Mailing address
2060 S KENT DES MOINES RD # D-14, DES MOINES, WA 98198
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YA0400X
WA
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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