Individual
MR. PETER B. STAPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3580 PACIFIC AVE, TACOMA, WA 98418-7915
(253) 798-4500
(253) 798-4493
Mailing address
3580 PACIFIC AVE, TACOMA, WA 98418-7915
(253) 798-4500
(253) 798-4493
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00000648
WA
101YM0800X
Mental Health Counselor
RC00008994
WA
Other
Enumeration date
01/24/2008
Last updated
01/24/2008
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