Individual
MS. DEBRA JEAN MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CP 60476127
Contact information
Practice address
235 SW 153RD ST, BURIEN, WA 98166-2313
(206) 242-4915
(206) 242-4975
Mailing address
235 SW 153RD ST, BURIEN, WA 98166-2313
(206) 242-4915
(206) 242-4975
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60476127
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710331905
PRIVATE CARE
WA
01
—
60476127
PRIVATE CARE
WA
Enumeration date
05/07/2019
Last updated
06/11/2019
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