Individual
MS. PATRICIA MARIE UPSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
1601 E 4TH PLAIN, BUILDING 17, VANCOUVER, WA 98661-3753
(360) 397-6008
(360) 397-8250
Mailing address
PO BOX 1678, VANCOUVER, WA 98668-1678
(360) 397-6008
(360) 397-8250
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00001729
WA
Other
Enumeration date
06/12/2009
Last updated
06/12/2009
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