Lisa House, CM60370801

NPI #1255879888 in Sedro Woolley, Washington

Provider Information

NPI Number
1255879888
Entity Type
Individual
Name
Lisa House, CM60370801
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
CM60370801
Enumeration Date
Feb 2, 2017
Last Updated
Feb 2, 2017

Practice Location

Address
1960 THOMPSON DR
ZIP Code
98284-5007
Phone
(360) 856-3115

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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