Individual
MS. LAURA LYNN VANHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, CDPT
Contact information
Practice address
510 TACOMA AVE S, TACOMA, WA 98402-5416
(253) 502-5415
Mailing address
11212 18TH AVE S APT C301, TACOMA, WA 98444-1444
(253) 652-9120
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60849893
WA
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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