SHAUNA SPRAGUE

KELSO, WA
NPI1528656246
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO61105885)
Enumeration Date2021-01-07
Last Update Date2021-01-07
Business Address
SHAUNA SPRAGUE SUDP-T
404 W MAIN ST
KELSO, WA 98626-1118
Phone number: 360-423-2806
Mailing Address
SHAUNA SPRAGUE SUDP-T
404 W MAIN ST
KELSO, WA 98626-1118
Phone number: 360-423-2806