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Destin Rae Martini SR., SUDPT
Addiction (Substance Use Disorder) Counselor in Chehalis, Washington
NPI 1902559222

Destin Rae Martini SR. is an Addiction (Substance Use Disorder) Counselor based in Chehalis, WA and is specialized in Addiction (Substance Use Disorder). Destin Rae Martini SR. practices in Chehalis, WA and has the professional credentials of SUDPT. The NPI Number for Destin Rae Martini SR. is 1902559222 and holds a License No. CO61210725 (Washington).

The current practice location address for Destin Rae Martini SR. is 500 Se Washington Ave, Chehalis, WA and can be reached out via phone at 360-748-4776.

Location: 500 Se Washington Ave, Chehalis, WA, 98532-3058
person
Provider Profile Details
NPI Number
1902559222
Provider Name
Destin Rae Martini SR.
Credential
SUDPT
Provider Entity Type
Individual
Gender
Female
Address
500 Se Washington Ave, Chehalis, WA, 98532-3058
Phone Number
360-748-4776
Fax Number
Provider Enumeration Date
01/27/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2077844 05 WA
institution
Provider Business Practice Location Address Details
Address
500 Se Washington Ave
City
State
Zip
98532-3058
Phone Number
360-748-4776
Fax Number
person
Provider Business Mailing Address Details
Address
500 Se Washington Ave
City
State
Zip
98532-3058
Phone Number
360-748-4776
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CO61210725 (Washington)
Definition
Definition to come...
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