Individual
BRADY ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2212 S JACKSON ST, SEATTLE, WA 98144-2591
(206) 322-2387
Mailing address
2212 S JACKSON ST, SEATTLE, WA 98144-2591
(206) 322-2387
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG61014249
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP 60628937
WA
Other
Enumeration date
08/23/2016
Last updated
05/15/2025
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