RUSTY LISTER

Counselor

Active Individual
NPI: 1902421506

Practice Address

1305 TACOMA AVE S STE 305
Tacoma, WA 98402

Phone: (479) 352-0128

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes -

Frequently Asked Questions

NPI 1902421506 is the National Provider Identifier for RUSTY LISTER, a Counselor provider located in Tacoma, WA. This NPI was enumerated on June 10, 2020.
RUSTY LISTER practices at 1305 TACOMA AVE S STE 305, Tacoma, WA 98402.

Quick Facts

NPI
1902421506
Type
Individual
Enumerated
Jun 10, 2020
Last Updated
Jun 10, 2020

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