Individual
ISAAC STEPHEN DOCKTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
140 RAINIER AVE S, SUITE 3, RENTON, WA 98057-2000
(425) 255-5526
(425) 255-5523
Mailing address
140 RAINIER AVE S, SUITE 3, RENTON, WA 98057-2000
(425) 255-5526
(425) 255-5523
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60153647
WA
101YM0800X
Mental Health Counselor
CL60174034
WA
Other
Enumeration date
11/09/2012
Last updated
11/09/2012
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