NPI 1033680434

Loretta Young

Practitioner Addiction (Substance Use Disorder) Counselor Gig Harbor, WA

Practice location

Address: 5122 Olympic Dr NW, Gig Harbor, WA 98335-1767
Phone: (253) 851-2552
Fax: (253) 858-8506
Mailing address: 12850 Lala Cove Ln SE, Olalla, WA 98359-9664

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence CO60703746 (WA)

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Registry record

NPI: 1033680434
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Dec 2018
Record last updated: 10 Dec 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.