Individual
REITA ELISABETH PIECUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
2133 3RD AVE, SEATTLE, WA 98121-2385
(206) 223-3644
Mailing address
2133 3RD AVE, SEATTLE, WA 98121-2385
(206) 223-3644
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/25/2019
Last updated
10/02/2020
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