Individual
JULIA CHARBONEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSWAIC, CDP
Contact information
Practice address
17018 15TH AVE NE, SHORELINE, WA 98155-5126
(206) 372-7136
Mailing address
17018 15TH AVE NE, SHORELINE, WA 98155-5126
(206) 372-7136
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60569991
WA
1041C0700X
Clinical Social Worker
SC60543941
WA
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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