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Individual

OWEN RILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW, AAC, CDPT

Contact information

Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 744-9687
(206) 744-9854
Mailing address
325 9TH AVE, SEATTLE, WA 98104-2499
(206) 744-9687
(206) 744-9854

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG60135547
WA
101YM0800X
Mental Health Counselor
CG60135547
WA
104100000X
Social Worker
Primary
LW60593518
WA
390200000X
Student in an Organized Health Care Education/Training Program
CO60241395
WA

Other

Enumeration date
12/14/2006
Last updated
02/26/2016
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