Individual
LLOYD EMSLEY SHATTUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
13037 NE BEL RED RD STE 102A, BELLEVUE, WA 98005-2651
(425) 502-9945
(425) 698-1541
Mailing address
13037 NE BEL RED RD STE 102A, BELLEVUE, WA 98005-2651
(425) 502-9945
(425) 698-1541
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60433542
WA
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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