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Regina Ann Somerville, SUDP
Addiction (Substance Use Disorder) Counselor in Vancouver, Washington
NPI 1346898624

Regina Ann Somerville is an Addiction (Substance Use Disorder) Counselor based in Vancouver, WA and is specialized in Addiction (Substance Use Disorder). Regina Ann Somerville practices in Vancouver, WA and has the professional credentials of SUDP. The NPI Number for Regina Ann Somerville is 1346898624 and holds a License No. CO60977634 (Washington).

The current practice location address for Regina Ann Somerville 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, 98663-1829
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Provider Profile Details
NPI Number
1346898624
Provider Name
Regina Ann Somerville
Credential
SUDP
Provider Entity Type
Individual
Gender
Female
Address
1601 E Fourth Plain Blvd, Vancouver, WA, 98663-1829
Phone Number
360-397-8246
Fax Number
360-397-8450
Provider Enumeration Date
08/29/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CO60977634 01 WA WA STATE LICENCE
institution
Provider Business Practice Location Address Details
Address
1601 E Fourth Plain Blvd
City
State
Zip
98661-3713
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
98661-3713
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.
CO60977634 (Washington)
Definition
Definition to come...
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