Individual
MR. BRENT A. CUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
514 S 13TH ST, TACOMA, WA 98402-1908
(253) 396-5000
Mailing address
245 TACOMA AVE S, #103, TACOMA, WA 98402-2500
(360) 580-1938
(253) 383-5548
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/06/2007
Last updated
12/06/2007
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