Individual
CHARLES JACOB MCCUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 E OLIVE ST, SEATTLE, WA 98122-2735
(206) 901-2000
Mailing address
6400 SOUTHCENTER BLVD, TUKWILA, WA 98188-2547
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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