Individual provider · Type 1 NPI

Mary L. Laville

Addiction (Substance Use Disorder) Counselor · Newport, WA

NPI number 1629120274 Active

Practice location

105 South Garden Ave
Newport, WA 99156-5055

Fax (509) 447-2671

Mailing address

PO Box 5055
Newport, WA 99156-5055

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1629120274

Mary L. Laville's National Provider Identifier is 1629120274, issued on Jan 16, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Newport, WA. The record was last updated on Jul 8, 2007.