Individual provider · Type 1 NPI

Tamara Light, SUDP

Addiction (Substance Use Disorder) Counselor · Olympia, WA

NPI number 1326560558 Active

Practice location

6700 Martin Way E Ste 117
Olympia, WA 98516-5586

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XCO60737379 (WA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP61026957 (WA)

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

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About NPI 1326560558

Tamara Light, SUDP's National Provider Identifier is 1326560558, issued on Jul 10, 2017. 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 May 13, 2022.