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Individual

BARBARA GENEVIEVE ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
29 SANPOIL ST., NESPELEM, WA 99155-0150
(509) 634-2610
(509) 634-2781
Mailing address
29 SANPOIL ST., NESPELEM, WA 99155-0150
(509) 634-2610
(509) 634-2781

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C060273745
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1045917
WA
Enumeration date
09/19/2012
Last updated
09/19/2012
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