Individual
LANDON THOMAS BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LICSWA, CDPT
Contact information
Practice address
2719 E MADISON ST STE 200, MADISON, SEATTLE, WA 98112-4752
(206) 302-2600
(206) 302-2610
Mailing address
1600 E OLIVE ST, SOUND MENTAL HEALTH, SEATTLE, WA 98122-2735
(206) 302-2600
(206) 302-2610
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SC60384894
WA
1041C0700X
Clinical Social Worker
Primary
SC60384894
WA
390200000X
Student in an Organized Health Care Education/Training Program
CO60384987
WA
Other
Enumeration date
12/05/2012
Last updated
07/25/2013
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