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1386183176
KRYSTA PETERSON- NIECE
YAKIMA, WA
NPI
1386183176
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-02-14
Last Update Date
2017-02-14
Business Address
-- KRYSTA PETERSON- NIECE CDPT
315 N 2ND ST
YAKIMA, WA 98901-2334
Phone number: 509-469-9366
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Mailing Address
-- KRYSTA PETERSON- NIECE CDPT
315 N 2ND ST
YAKIMA, WA 98901-2334
Phone number: 509-469-9366
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