Diane G Henry, SUDP
NPI #1679105001 in Tulalip, Washington
Provider Information
- NPI Number
- 1679105001
- Entity Type
- Individual
- Name
- Diane G Henry, SUDP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- SUDP
- Enumeration Date
- Feb 4, 2020
- Last Updated
- Feb 4, 2020
Practice Location
- Address
- 2821 MISSION HILL RD
- City
- Tulalip
- State
- Washington
- ZIP Code
- 98271-9706
- Phone
- (360) 716-4306
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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