Individual
VICTOR CLEVELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDPT
Contact information
Practice address
10315 19TH AVE SE STE 112, EVERETT, WA 98208-4268
(425) 953-7926
(206) 362-7152
Mailing address
10220 3RD AVE SE # L711, EVERETT, WA 98208-3957
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60802753
WA
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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