Individual
LONNIE ISAAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19707 44TH AVE W, #101, LYNNWOOD, WA 98036-6757
(425) 977-2560
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60427317
WA
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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