Individual
CAREN GUSSOFF SUMPTION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPC, CVA, AAC, MFA
Contact information
Practice address
216 JAMES ST, SEATTLE, WA 98104-5102
(206) 464-6454
Mailing address
216 JAMES ST, SEATTLE, WA 98104-5102
(206) 464-6454
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CG60710364
WA
175T00000X
Peer Specialist
SUMPTION
WA
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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