Individual
CHARLES STUART POTRYKUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
8514 HOLLY LN, EDMONDS, WA 98026-8635
(206) 313-9546
Mailing address
8514 HOLLY LN, EDMONDS, WA 98026-8635
(206) 313-9546
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
WA
Other
Enumeration date
06/13/2007
Last updated
01/24/2022
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