Individual
BEN WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1618 S LANE ST, SEATTLE, WA 98144-2829
(206) 899-7084
Mailing address
1618 S LANE ST, SEATTLE, WA 98144-2829
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
61185206
WA
Other
Enumeration date
05/20/2021
Last updated
09/03/2021
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