Individual provider · Type 1 NPI
Mirella Apolonia Villagomez, CP60459149
Addiction (Substance Use Disorder) Counselor · Tacoma, WA
NPI number
1376900282
Active
Practice location
5915 Orchard St W, Bldg. B
Tacoma, WA 98467-3824
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CP60459149 (WA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1376900282
Mirella Apolonia Villagomez, CP60459149's National Provider Identifier is 1376900282, issued on Jan 22, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tacoma, WA. The record was last updated on Jan 22, 2016.