Individual
MIKEL WASSEMILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
809 W MAIN ST STE C, MONROE, WA 98272-2172
(206) 552-0882
Mailing address
4712 BLACK FOREST LN, EVERETT, WA 98203-3240
(425) 299-5579
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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