Individual
ERNIE V SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1505 KLA-OOK-WA DRIVE, TAHOLAH, WA 98587
(360) 276-4405
(360) 276-9991
Mailing address
PO BOX 219, TAHOLAH, WA 98587-0219
(360) 276-4405
(360) 276-9991
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60187490
WA
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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