Individual
MR. MICHAEL G SKALECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SUDPT
Contact information
Practice address
1412 140TH PL NE, BELLEVUE, WA 98007-3915
(425) 747-7892
Mailing address
1412 140TH PL NE, BELLEVUE, WA 98007-3915
(425) 747-7892
(425) 747-8348
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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