Individual
MEGAN MARIE VANDUSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CO61547151
Contact information
Practice address
381 ROUPE RD, SEQUIM, WA 98382-7949
(360) 360-4602
Mailing address
390 E CEDAR ST, SEQUIM, WA 98382-3403
(360) 681-8463
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61547151
WA
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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