Individual
MISS DALLAS RENAE NEIGHBORS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
711 S 25TH ST STE B, TACOMA, WA 98405-4306
(253) 536-2881
Mailing address
1224 YAKIMA AVE APT 305, TACOMA, WA 98405-4453
(253) 304-6549
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61083714
WA
101YM0800X
Mental Health Counselor
CG61103555
WA
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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