Individual
MRS. ITZA IVONNE REYES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
918 E MEAD AVE, YAKIMA, WA 98903-3720
(509) 836-4161
(509) 837-0450
Mailing address
8430 ASHUE RD, TOPPENISH, WA 98948-9781
(509) 836-4161
(509) 837-0450
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RC00047108
WA
Other
Enumeration date
04/27/2006
Last updated
07/08/2007
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