Organization
ISLAND CENTER FOR COMPLEMENTARY MEDICINE INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH ROSE HOUSEWORTH L.AC. (PRESIDENT)
(206) 525-0750
Entity
Organization
Contact information
Practice address
6826 28TH AVE NE, SEATTLE, WA 98115-7145
(206) 525-0750
(206) 524-6530
Mailing address
6826 28TH AVE NE, SEATTLE, WA 98115-7145
(206) 525-0750
(206) 524-6530
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH00003885
WA
171100000X
Acupuncturist
Primary
AC00000208
WA
Other
Enumeration date
10/21/2011
Last updated
10/21/2011
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