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Ms. Kathleen Loretta St.clair I, CDP
Addiction (Substance Use Disorder) Counselor in Vancouver, Washington
NPI 1174750475

Kathleen Loretta St.clair I is an Addiction (Substance Use Disorder) Counselor based in Vancouver, WA and is specialized in Addiction (Substance Use Disorder). Kathleen Loretta St.clair I practices in Vancouver, WA and has the professional credentials of CDP. The NPI Number for Kathleen Loretta St.clair I is 1174750475 and holds a License No. CP00002518 (Washington).

The current practice location address for Kathleen Loretta St.clair I is 1601 E Fourth Plain Blvd, Vancouver, WA and can be reached out via phone at 360-397-8246 and via fax at 360-397-8450.

Location: 1601 E Fourth Plain Blvd, Vancouver, WA, 98661-3753
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Provider Profile Details
NPI Number
1174750475
Provider Name
Kathleen Loretta St.clair I
Credential
CDP
Provider Entity Type
Individual
Gender
Female
Address
1601 E Fourth Plain Blvd, Vancouver, WA, 98661-3753
Phone Number
360-397-8246
Fax Number
360-397-8450
Provider Enumeration Date
06/15/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CD00002518 01 WA WASHINGTON STATE DEPARTMENT OF HEALTH
institution
Provider Business Practice Location Address Details
Address
1601 E Fourth Plain Blvd
City
State
Zip
98661-3753
Phone Number
360-397-8246
Fax Number
360-397-8450
person
Provider Business Mailing Address Details
Address
1601 E Fourth Plain Blvd
City
State
Zip
98661-3753
Phone Number
360-397-8246
Fax Number
360-397-8450
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CP00002518 (Washington)
Definition
Definition to come...
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