Individual
EDWARD PELTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AAC
Contact information
Practice address
3857 MARTIN WAY E, OLYMPIA, WA 98506-5268
(360) 704-7170
Mailing address
3857 MARTIN WAY E, OLYMPIA, WA 98506-5268
(360) 704-7170
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60982515
WA
Other
Enumeration date
07/03/2019
Last updated
11/30/2021
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