Individual
REGINA WEAVER-ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 BENSON RD S STE 250, RENTON, WA 98055-4454
(425) 254-2899
Mailing address
6297 S 153RD ST, TUKWILA, WA 98188-2539
(206) 966-0943
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
61128940
WA
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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