ANGELIQUE MONICA LANE

OLYMPIA, WA
NPI1316731227
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA  CO61655108)
Enumeration Date2025-04-07
Last Update Date2025-05-05
Business Address
ANGELIQUE MONICA LANE SUDPT
2708 WESTMOOR CT SW
OLYMPIA, WA 98502-5754
Phone number: 360-943-8810
Mailing Address
ANGELIQUE MONICA LANE SUDPT
1913 BISHOP RD
CHEHALIS, WA 98532-8746
Phone number: 360-431-1552