CORIE CANOVA-LUCERO

VANCOUVER, WA
NPI1821531823
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO 60630414)
Enumeration Date2016-11-22
Last Update Date2016-11-22
Business Address
-- CORIE CANOVA-LUCERO CO 60630414
6926 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98661-7369
Phone number: 360-993-3000
Mailing Address
-- CORIE CANOVA-LUCERO CO 60630414
PO BOX 1337
VANCOUVER, WA 98666-1337
Phone number: 360-993-3000
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