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Individual

BRIAN GRAHAM BURWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CDPT

Contact information

Practice address
18490 SUQUAMISH WAY NE UNIT 107, SUQUAMISH, WA 98392-9533
(360) 394-8558
(360) 598-1724
Mailing address
PO BOX 1228, SUQUAMISH, WA 98392-1228
(360) 394-8558
(360) 598-1724

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60163916
WA
1041C0700X
Clinical Social Worker
SC60656654
WA

Other

Enumeration date
12/08/2011
Last updated
08/01/2016
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