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Individual

COURTNEY LEEANN GUTHRIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
918 E MEAD AVE, YAKIMA, WA 98903-3720
(509) 453-1344
Mailing address
918 E MEAD AVE, YAKIMA, WA 98903-3720

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
175T00000X
Peer Specialist
Primary
CG61364772
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CG1364772
WA DEPARTMENT OF HEALTH
WA
01
NC60493629
WA DEPARTMENT OF HEALTH
WA
Enumeration date
02/23/2023
Last updated
11/03/2023
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