Individual
ANDREA VIZCAINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
2924 FALK RD, VANCOUVER, WA 98661-5604
(360) 690-3069
(360) 726-5961
Mailing address
2204 NE 140TH ST, VANCOUVER, WA 98686-3020
(360) 721-9191
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61326935
WA
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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