Individual
BRITTANI NICOLE BOZEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
6926 NE FOURTH PLAIN BLVD, VANCOUVER, WA 98661-7254
(360) 993-3000
Mailing address
4619 NE 112TH AVE APT S205, VANCOUVER, WA 98682-5413
(360) 448-9495
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CM60732106
WA
Other
Enumeration date
05/25/2017
Last updated
05/25/2017
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