MARKELL PETERSEN

VANCOUVER, WA
NPI1104383645
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  61146194)
Enumeration Date2019-02-20
Last Update Date2024-07-10
Business Address
MARKELL PETERSEN SUDP
7700 NE 26TH AVE
VANCOUVER, WA 98665-0672
Phone number: 360-397-8228
Mailing Address
MARKELL PETERSEN SUDP
PO BOX 2429
LONGVIEW, WA 98632-8486
Phone number: 360-353-9494
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