Individual
KEVIN CORMIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 E OLIVE ST, SEATTLE, WA 98122-2735
(206) 302-2200
Mailing address
1600 E OLIVE ST, SEATTLE, WA 98122-2735
(206) 302-2200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO 60610826
WA
1041C0700X
Clinical Social Worker
Primary
SC 60588857
WA
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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