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18 W Mercer St Suite 370 Seattle WA 98119-3965 | |
| (206) 328-1719 | |
| (206) 547-1727 |
| Full Name | |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 18 W Mercer St, Seattle, Washington |
| Authorized Official Name and Position | Gina Grappone (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2063281719 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
18 W Mercer St Suite 370 Seattle WA 98119-3965 Ph: (206) 328-1719 | 18 W Mercer St Suite 370 Seattle WA 98119-3965 Ph: (206) 328-1719 |
| NPI Number | 1417236639 |
|---|---|
| Provider Enumeration Date | 08/04/2011 |
| Last Update Date | 08/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417236639 | NPI | - | NPPES |
| 17151000 | Other | WA | CHEMICAL DEPENDENCY AGENCY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 17151000 (Washington) | Primary |
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