Individual
FRED PULPHUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
811 MADISON ST, EVERETT, WA 98203-4543
(425) 493-5831
Mailing address
811 MADISON ST, EVERETT, WA 98203-4543
(425) 349-6200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
60489478
WA
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/27/2014
Last updated
04/19/2024
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