ANDREYA FOUNTAIN

TACOMA, WA
NPI1821691130
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  60985197)
Enumeration Date2020-11-18
Last Update Date2020-11-18
Business Address
ANDREYA FOUNTAIN SUDPT
2156 PACIFIC AVE
TACOMA, WA 98402-3004
Phone number: 253-200-0505
Mailing Address
ANDREYA FOUNTAIN SUDPT
2156 PACIFIC AVE
TACOMA, WA 98402-3004
Phone number: 253-200-0505
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