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606 Maynard Ave S Suite 106 Seattle WA 98104-2995 | |
| (206) 223-9578 | |
| (206) 623-3479 |
| Full Name | |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 606 Maynard Ave S, Seattle, Washington |
| Authorized Official Name and Position | Greg Garcia (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2062239578 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
606 Maynard Ave S Suite 106 Seattle WA 98104-2995 Ph: (206) 223-9578 | 606 Maynard Ave S Suite 106 Seattle WA 98104-2995 Ph: (206) 223-9578 |
| NPI Number | 1255541215 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255541215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 17078300 (Washington) | Primary |
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