Individual
MR. SCOTT DARREL AMUNDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
1100 S 2ND ST, MOUNT VERNON, WA 98273-4209
(360) 419-3500
Mailing address
PO BOX 3810, EVERETT, WA 98213
(425) 349-8359
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60237971
WA
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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