Individual
ROWELL DELA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 N 17TH ST, MOUNT VERNON, WA 98273-3443
(360) 540-0251
Mailing address
210 N 17TH ST, MOUNT VERNON, WA 98273-3443
(360) 540-0251
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60342495
WA
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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