Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | CP00000110 | WA |
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | LH00008923 | WA |
N | 101YM0800X | Mental Health Counselor | LH00008923 | WA |
NPI | 1003973926 |
---|---|
Provider Name | Parveen Abdul |
First Address | Yakima, WA 98902-3546 |
Second Address | Walla Walla, WA 99362-8607 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2007 |
Last Update Date | 22/04/2019 |