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Breanna Slape-lorenzo
Addiction (Substance Use Disorder) Counselor in Kelso, Washington
NPI 1467922906

Breanna Slape-lorenzo is an Addiction (Substance Use Disorder) Counselor based in Kelso, WA and is specialized in Addiction (Substance Use Disorder). Breanna Slape-lorenzo practices in Kelso, WA. The NPI Number for Breanna Slape-lorenzo is 1467922906 and holds a License No. CP60735570 (Washington).

The current practice location address for Breanna Slape-lorenzo is 404 W Main St, Kelso, WA and can be reached out via phone at 360-423-2806.

Location: 404 W Main St, Kelso, WA, 98626-1118
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467922906
Provider Name
Breanna Slape-lorenzo
Credential
Provider Entity Type
Individual
Gender
Female
Address
404 W Main St, Kelso, WA, 98626-1118
Phone Number
360-423-2806
Fax Number
Provider Enumeration Date
11/27/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
404 W Main St
City
Kelso
State
Washington
Zip
98626-1118
Phone Number
360-423-2806
Fax Number
person
Provider Business Mailing Address Details
Address
404 W Main St
City
Kelso
State
Washington
Zip
98626-1118
Phone Number
360-423-2806
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.
CP60735570 (Washington)
Definition
Definition to come...
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