Individual
SEAN BEANBLOSSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4120 GUIDE MERIDIAN STE 220, BELLINGHAM, WA 98226-5575
(360) 922-3030
Mailing address
8425 BERTHUSEN RD, LYNDEN, WA 98264-9759
(360) 510-8377
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
61532137
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
WA
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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