Brian T Waterman CDP

NPI 1275810384 - Counselor - 101YA0400X

NPI Details
NPI 1275810384
Gender Male
Enumeration Date 11/03/2011
Last Updated 10/01/2012
Entity Type Individual
Active Over 5 years ago
Practice Location
15455 65TH AVE S
TUKWILA WA, 98188-2534, US
Phone (206) 721-5170
Fax (206) 721-6288
Business Location
15455 65TH AVE S
TUKWILA WA, 98188-2534, US
Phone (206) 721-5170
Fax (206) 721-6288
Toxanomy
Taxonomy Code 101YA0400X
License State Washington
License Number CP00003772
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According to our database, Brian T Waterman CDP NPI is 1275810384, taxonomy code is 101YA0400X and license number is CP00003772, license state is located at Washington. Brian T Waterman CDP physically located at 15455 65th Ave S, Tukwila WA, 98188-2534. NPI Number Brian T Waterman CDP has the Individual type.

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1275810384 NPI number is provided on an as is basis without warranty of any kind. 1275810384 is maintained by the National Plan & Provider Enumeration System. The contents of Brian T Waterman CDP are for informational purposes only.