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Individual

ELEANOR VALENZUELA WARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CDP

Contact information

Practice address
2708 WESTMOOR CT SW, OLYMPIA, WA 98502-5754
(360) 943-8810
(360) 943-0931
Mailing address
18633 DEERFIELD LN SW, ROCHESTER, WA 98579-9180
(360) 858-1682

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP00001360
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
VALENEA49806
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2113288
WA
01
VALENEA49806
LICENSE
WA
Enumeration date
03/28/2007
Last updated
03/24/2021
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