Individual
MALLORY SAGE HOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CO 61403662
Contact information
Practice address
4230 198TH ST SW, LYNNWOOD, WA 98036-6762
(425) 248-4900
Mailing address
19629 SUNNYSIDE DR N APT N106, SHORELINE, WA 98133-2785
(253) 257-8215
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
61403662
WA
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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