Individual
ZACHARY MEZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
510 TACOMA AVE S, TACOMA, WA 98402-5416
(253) 572-4750
Mailing address
510 TACOMA AVE S, TACOMA, WA 98402-5416
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO60914192
SUBSTANCE USE DISORDER PROFESSIONAL INTERN
WA
Enumeration date
11/07/2019
Last updated
11/07/2019
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