Individual
JULIAN ALEJANDRO LICEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 SW HOLDEN ST, SEATTLE, WA 98126-3505
(206) 933-7299
(206) 933-7201
Mailing address
2600 SW HOLDEN ST, SEATTLE, WA 98126-3505
(206) 933-7201
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO61552985
WA
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/10/2023
Last updated
06/12/2024
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