Individual
MR. CLUSSIE BAGBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 S GRADY WAY STE 245, RENTON, WA 98057-3209
(206) 679-8291
(206) 274-6252
Mailing address
15 S GRADY WAY STE 245, RENTON, WA 98057-3209
(206) 679-8291
(206) 274-6252
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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