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Maria Azucena Enciso
Addiction (Substance Use Disorder) Counselor in Des Moines, Washington
NPI 1386304699

Maria Azucena Enciso is an Addiction (Substance Use Disorder) Counselor based in Seattle, WA and is specialized in Addiction (Substance Use Disorder). Maria Azucena Enciso practices in Des Moines, WA. The NPI Number for Maria Azucena Enciso is 1386304699 and holds a License No. (Washington).

The current practice location address for Maria Azucena Enciso is 24027 25Th Ave S, Des Moines, WA and can be reached out via phone at 206-853-3840.

Location: 24027 25Th Ave S, Des Moines, WA, 98168-1615
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386304699
Provider Name
Maria Azucena Enciso
Credential
Provider Entity Type
Individual
Gender
Female
Address
24027 25Th Ave S, Des Moines, WA, 98168-1615
Phone Number
206-853-3840
Fax Number
Provider Enumeration Date
12/28/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9HP000522010 01 WA HMA
institution
Provider Business Practice Location Address Details
Address
24027 25Th Ave S
City
Des Moines
State
Washington
Zip
98198-4049
Phone Number
206-853-3840
Fax Number
person
Provider Business Mailing Address Details
Address
24027 25Th Ave S
City
Des Moines
State
Washington
Zip
98198-4049
Phone Number
206-853-3840
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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