Individual
VANESSA WURTTELE-BRISSOLESI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 RAINIER AVE S STE 201, SEATTLE, WA 98144-4642
(206) 417-9904
Mailing address
8627 23RD AVE NE, SEATTLE, WA 98115-3310
(360) 688-3857
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106S00000X
Behavior Technician
—
—
175T00000X
Peer Specialist
Primary
—
WA
Other
Enumeration date
12/15/2020
Last updated
03/25/2024
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