Individual
AKIRA FAJAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 SW HOLDEN ST, SEATTLE, WA 98126-3505
(206) 933-7200
Mailing address
432 SW 155TH ST APT A, BURIEN, WA 98166-4417
(701) 541-5279
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
WA
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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