Individual
DARRELL CHARLES KAWIKA HUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5209 N 42ND ST, TACOMA, WA 98407-3611
(808) 345-1754
Mailing address
5209 N 42ND ST, TACOMA, WA 98407-3611
(808) 345-1754
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC60968378
WA
Other
Enumeration date
07/02/2019
Last updated
07/27/2021
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