Individual provider · Type 1 NPI
Deidra Gravina
Addiction (Substance Use Disorder) Counselor · Vancouver, WA
NPI number
1124506480
Active
Practice location
6926 E Fourth Plain Blvd
Vancouver, WA 98661-7254
Mailing address
PO Box 1337
Vancouver, WA 98666-1337
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
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About NPI 1124506480
Deidra Gravina's National Provider Identifier is 1124506480, issued on Jul 30, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Vancouver, WA. The record was last updated on Jul 30, 2018.