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Organization

CENTERFORHUMANSERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAROLYN ELIZABETH HOLCOMB CDP (CHEMICAL DEPENDENCY COUNSELOR)
(205) 362-7282
Entity
Organization

Contact information

Practice address
17018 15TH AVE NE, SHORELINE, WA 98155-5126
(206) 362-7282
(206) 362-7152
Mailing address
424 3RD AVE S, NONE, EDMONDS, WA 98020-8418
(206) 362-7282
(206) 362-7152

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
0003520
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0003520
CHEMICAL DEPENDENCY
WA
Enumeration date
06/18/2013
Last updated
06/18/2013
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