Individual
MR. TAURELL REBOULET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
21514 82ND AVE SE, WOODINVILLE, WA 98072-9737
(360) 333-9887
Mailing address
21514 82ND AVE SE, WOODINVILLE, WA 98072-9737
(360) 333-9887
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171W00000X
Contractor
Primary
MA 00023581
WA
Other
Enumeration date
10/18/2010
Last updated
05/09/2013
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