Individual provider · Type 1 NPI
Stacy Perez
Addiction (Substance Use Disorder) Counselor · Enumclaw, WA
NPI number
1376193219
Active
Practice location
1335 Cole St
Enumclaw, WA 98022-2654
Mailing address
325 W Gowe St
Kent, WA 98032-5892
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1376193219
Stacy Perez's National Provider Identifier is 1376193219, issued on Sep 12, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Enumclaw, WA. The record was last updated on Sep 16, 2019.