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Individual

RACHELLE JOI GOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
516 E 1ST ST, ABERDEEN, WA 98520-4106
(360) 350-4010
Mailing address
516 E 1ST ST, ABERDEEN, WA 98520-4106
(360) 350-4010

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61263595
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
330652655
WA
Enumeration date
04/11/2022
Last updated
04/11/2022
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