Victoria Ilasa Tupua, CO61490540
Victoria Ilasa Tupua, CO61490540 is an Addiction (Substance Use Disorder) Counselor in Lakewood, Washington. Licensed in Washington. Registered with an NPI since 2024.
- Licensed in
- WA
- In the registry since
- 2024
Practice location Address checks out
4909 108th St SWLakewood, WA 98499-3724
Phone: (253) 544-4772
Fax: (253) 276-0042
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence CO61490540 (WA) |
|---|
Record details
| NPI number | 1902660517 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CO61490540 |
| Sole proprietor | No |
| NPI enumerated | February 13, 2024 |
| Last updated in NPPES | February 13, 2024 |
| Certification date | February 13, 2024 |
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