Zuleika Provstgaard

NPI #1902604176 in Omak, Washington

Provider Information

NPI Number: 1902604176
Entity Type: Individual
Name: Zuleika Provstgaard
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Mar 4, 2025
Last Updated: Mar 4, 2025

Practice Location

Address: 1007 KOALA DR
City: Omak
State: Washington
ZIP Code: 98841-9247
Phone: (509) 826-6191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Peer Specialist	175T00000X	Primary

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