Stacy Raeann Wirkkala, SUDPT
Stacy Raeann Wirkkala, SUDPT is an Addiction (Substance Use Disorder) Counselor in Kelso, Washington. Practices as a sole proprietor. Licensed in Washington.
- Licensed in
- WA
- In the registry since
- 2022
Practice location Address checks out
404 W Main StKelso, WA 98626-1118
Phone: (360) 423-2806
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence CO61077791 (WA) |
|---|
Record details
| NPI number | 1144973223 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | SUDPT |
| Sole proprietor | Yes |
| NPI enumerated | January 30, 2022 |
| Last updated in NPPES | July 1, 2023 |
| Certification date | June 30, 2023 |
Other providers in Kelso
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Mrs. Mindy Lorraine Taitano
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Mr. Larry James Tedder, CDP
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Shane Aaron Van Fossen, CO70013818
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Mr. Paul Allen Welk, AS, CDP
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MS. Sydney J Wolfe
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