Individual
ANASTASIIA MAY GONCHARENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUDP
Contact information
Practice address
1601 E FOURTH PLAIN BLVD BLDG 17, VANCOUVER, WA 98661-3717
(360) 558-5795
(360) 397-8494
Mailing address
6926 NE FOURTH PLAIN BLVD, VANCOUVER, WA 98661-7254
(360) 993-3000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP61647604
WA
Other
Enumeration date
05/19/2021
Last updated
03/04/2025
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