person
Victoria Ilasa Tupua, CO61490540
Addiction (Substance Use Disorder) Counselor in Lakewood, Washington
NPI 1902660517

Victoria Ilasa Tupua is an Addiction (Substance Use Disorder) Counselor based in Lakewood, WA and is specialized in Addiction (Substance Use Disorder). Victoria Ilasa Tupua practices in Lakewood, WA and has the professional credentials of CO61490540. The NPI Number for Victoria Ilasa Tupua is 1902660517 and holds a License No. CO61490540 (Washington).

The current practice location address for Victoria Ilasa Tupua is 4909 108Th St Sw, Lakewood, WA and can be reached out via phone at 253-544-4772 and via fax at 253-276-0042.

Location: 4909 108Th St Sw, Lakewood, WA, 98499-3724
person
Provider Profile Details
NPI Number
1902660517
Provider Name
Victoria Ilasa Tupua
Credential
CO61490540
Provider Entity Type
Individual
Gender
Female
Address
4909 108Th St Sw, Lakewood, WA, 98499-3724
Phone Number
253-544-4772
Fax Number
253-276-0042
Provider Enumeration Date
02/13/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4909 108Th St Sw
City
State
Zip
98499-3724
Phone Number
253-544-4772
Fax Number
253-276-0042
person
Provider Business Mailing Address Details
Address
4909 108Th St Sw
City
State
Zip
98499-3724
Phone Number
253-544-4772
Fax Number
253-276-0042
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CO61490540 (Washington)
Definition
Definition to come...
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