Individual provider · Type 1 NPI

Audrey Jane Bengtson

Addiction (Substance Use Disorder) Counselor · Olympia, WA

NPI number 1083244644 Active

Practice location

3773 Martin Way E Ste 107
Olympia, WA 98506-4400

Fax (360) 688-7318

Mailing address

817 Tipsoo Loop S
Rainier, WA 98576-9745

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCO61019437 (WA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1083244644

Audrey Jane Bengtson's National Provider Identifier is 1083244644, issued on Jan 23, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Olympia, WA. The record was last updated on Jan 23, 2020.