Maria L Mix, SUDP
NPI #1134631021 in Longview, Washington
Provider Information
- NPI Number
- 1134631021
- Entity Type
- Individual
- Name
- Maria L Mix, SUDP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Credential
- SUDP
- Enumeration Date
- Oct 31, 2017
- Last Updated
- Apr 23, 2024
Practice Location
- Address
- 1302 COMMERCE AVE
- City
- Longview
- State
- Washington
- ZIP Code
- 98632-3096
- Phone
- (360) 423-2806
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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