Individual provider · Type 1 NPI

Teresa Lee Brunelle, CDPT

Addiction (Substance Use Disorder) Counselor · Kelso, WA

NPI number 1922564962 Active

Practice location

404 W Main St
Kelso, WA 98626-1118

Call (360) 423-2806 Map

Mailing address

311 W Kingsbury Rd
Kelso, WA 98626-9523

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X60730867 (WA)

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

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About NPI 1922564962

Teresa Lee Brunelle, CDPT's National Provider Identifier is 1922564962, issued on Feb 14, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Kelso, WA. The record was last updated on Feb 14, 2019.