Susan Gwendolyn Visco
Addiction Counselor (Substance Use Disorder)
3015 Trenton Ave
Bremerton
, Washington 98310-5347
Susan Gwendolyn Visco
Addiction Counselor (Substance Use Disorder)
3015 Trenton Ave
Bremerton
, Washington 98310-5347
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Susan Gwendolyn Visco
- 3015 Trenton Ave
- Bremerton, WA
- Zip : 98310-5347
- Phone :
Second Address
- Susan Gwendolyn Visco
- 3015 Trenton Ave
- Bremerton, WA
- Zip : 98310-5347
- Phone : (253) 858-4200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | CP60010870 | WA |
National Provider Identifier
| NPI | 1003382441 |
|---|---|
| Provider Name | Susan Gwendolyn Visco |
| First Address | Bremerton, WA 98310-5347 |
| Second Address | Bremerton, WA 98310-5347 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/10/2018 |
| Last Update Date | 23/10/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.