Individual
MR. ALFRED OCAMPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 S GRADY WAY, 249, RENTON, WA 98057-3220
(253) 229-9452
Mailing address
15 S GRADY WAY STE 249, RENTON, WA 98057-3209
(253) 391-3913
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO 60665075
WA
Other
Enumeration date
02/20/2017
Last updated
02/20/2017
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