JOSSIE NICHELLE BUNTEMEYER

OLALLA, WA
NPI1336760982
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO60940373)
Enumeration Date2020-05-05
Last Update Date2020-05-05
Business Address
JOSSIE NICHELLE BUNTEMEYER SUDPT
12850 LALA COVE LN SE
OLALLA, WA 98359-9664
Phone number: 253-857-6201
Mailing Address
JOSSIE NICHELLE BUNTEMEYER SUDPT
12850 LALA COVE LN SE
OLALLA, WA 98359-9664
Phone number: 253-857-6201