Individual
THOMAS OSTERDAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
7935 LAKE BALLINGER WAY, EDMONDS, WA 98026-9166
(425) 412-2973
(425) 672-6022
Mailing address
7935 LAKE BALLINGER WAY, EDMONDS, WA 98026-9166
(425) 412-2973
(425) 672-6022
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60725651
WA
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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