Simone Renee Tanke, CO61138079
NPI #1831772383 in Sedro Woolley, Washington
Provider Information
- NPI Number
- 1831772383
- Entity Type
- Individual
- Name
- Simone Renee Tanke, CO61138079
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- CO61138079
- Enumeration Date
- May 3, 2021
- Last Updated
- May 3, 2021
Practice Location
- Address
- 1960 THOMPSON DR
- City
- Sedro Woolley
- State
- Washington
- ZIP Code
- 98284-5007
- Phone
- (360) 856-3186
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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