Individual
ABEYOT NEGA BOGALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
124 4TH AVE S STE 230, KENT, WA 98032-5907
(235) 204-4683
Mailing address
124 4TH AVE S STE 230, KENT, WA 98032-5907
(235) 204-4683
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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