Individual
MICHELE MARIE PERRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15455 65TH AVE S, TUKWILA, WA 98188-2534
(206) 721-5170
(206) 721-6288
Mailing address
325 W GOWE ST, KENT, WA 98032-5892
(253) 833-7444
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407323942
—
WA
Enumeration date
11/01/2018
Last updated
03/29/2019
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