Individual provider · Type 1 NPI
Sophia Kalynn Perez, CMA
Addiction (Substance Use Disorder) Counselor · Zillah, WA
NPI number
1609344811
Active
Practice location
201 Highland Dr
Zillah, WA 98953-9716
Fax (509) 865-2011
Mailing address
201 Highland Drive
Buena, WA 98921
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | PEREZSK075D7 (WA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1609344811
Sophia Kalynn Perez, CMA's National Provider Identifier is 1609344811, issued on Nov 6, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Zillah, WA. The record was last updated on Nov 6, 2018.