Individual
MR. BOONLERT SUREEPISARN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MHP
Contact information
Practice address
3322 BROADWAY, EVERETT, WA 98201-4425
(425) 349-8188
(425) 349-7339
Mailing address
4604 101ST PL NE, MARYSVILLE, WA 98270-2361
(360) 770-9876
(425) 349-7339
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
RC00013321
WA
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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