Individual
NICHOLAS EDWARD ZAWISLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SUDPT
Contact information
Practice address
4120 MERIDIAN ST STE 220, BELLINGHAM, WA 98226-5575
(360) 922-3030
Mailing address
8402 122ND ST E, PUYALLUP, WA 98373-7807
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
61169811
WA
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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