MARY LAVILLE

Counselor - Addiction (Substance Use Disorder)

Active Individual
NPI: 1629120274

Practice Address

105 SOUTH GARDEN AVE
Newport, WA 99156

Phone: (509) 447-5651

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X Yes -

Frequently Asked Questions

NPI 1629120274 is the National Provider Identifier for MARY LAVILLE, a Counselor - Addiction (Substance Use Disorder) provider located in Newport, WA. This NPI was enumerated on January 16, 2007.
MARY LAVILLE practices at 105 SOUTH GARDEN AVE, Newport, WA 99156.

Quick Facts

NPI
1629120274
Type
Individual
Enumerated
Jan 16, 2007
Last Updated
Jul 8, 2007

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