Individual
RICHARD BRANDT-KREUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
525 LILLY RD NE, PMG SW WA ST PETER FAM MED, OLYMPIA, WA 98506-5101
(360) 493-7230
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LW00009736
WA
1041C0700X
Clinical Social Worker
LCS17846
CA
Other
Enumeration date
10/20/2006
Last updated
03/27/2014
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