| Bruce Wayne Austin Sr, CDP | |
|
9930 Evergreen Way Ste Z150, Everett, WA 98204-3889 | |
| (425) 347-5121 | |
| (425) 353-6425 |
| Full Name | Bruce Wayne Austin Sr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 9930 Evergreen Way Ste Z150, Everett, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518473099 | NPI | - | NPPES |
| CP60437219 | Other | WA | CHEMICAL DEPENDENCY PROFESSIONAL |
| CP60437219 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CP60437219 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce Wayne Austin Sr, CDP 9930 Evergreen Way, Everett, WA 98204-3883 Ph: () - | Bruce Wayne Austin Sr, CDP 9930 Evergreen Way Ste Z150, Everett, WA 98204-3889 Ph: (425) 347-5121 |
Mrs. Melissa Anne Toner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3322 Broadway, Everett, WA 98201 Phone: 425-349-7289 | |
Mr. David Merritt Hicks, CO60131166 Counselor Medicare: Not Enrolled in Medicare Practice Location: 2610 Wetmore Ave, Everett, WA 98201 Phone: 425-258-5270 Fax: 425-258-5275 | |
Sydney Kathrine Thorne, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2610 Wetmore Ave, Everett, WA 98201 Phone: 425-258-5270 Fax: 425-258-5275 | |
Jolie Rae Heck, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3322 Broadway, Everett, WA 98201 Phone: 425-349-7289 | |
Janelle Saville, RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 811 Madison St, Everett, WA 98203 Phone: 425-212-4200 Fax: 425-212-4297 | |
Cheryl Carp, Counselor Medicare: Medicare Enrolled Practice Location: 3000 Rockefeller Ave # Ms 305, Everett, WA 98201 Phone: 425-388-7214 | |
Ashley Dyer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 811 Madison St, Everett, WA 98203 Phone: 425-212-4200 |