Individual
MR. CAMILO ESPINOSA BALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4111 ALDERWOOD BLVD, LYNNWOOD, WA 98036-6765
(425) 977-2560
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CG61261094
WA
Other
Enumeration date
04/22/2022
Last updated
04/22/2022
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