Individual
MICHAEL MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
2400 NE 95TH ST, SEATTLE, WA 98115-2426
(206) 525-5050
(206) 525-9795
Mailing address
2400 NE 95TH ST, SEATTLE, WA 98115-2426
(206) 525-5050
(206) 525-9795
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00004757
WA
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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