Individual
TATYANA VETKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 LAKEWAY DR, BELLINGHAM, WA 98225-5233
(360) 676-2164
Mailing address
515 LAKEWAY DR, BELLINGHAM, WA 98225-5233
(360) 676-2164
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60976627
WA
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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