Individual
RONALD HALL FITZGERALD I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1210 SW 136TH ST, BURIEN, WA 98166-1214
(206) 257-6000
Mailing address
4205 AUBURN WAY S TRLR 63, AUBURN, WA 98092-7236
(253) 217-0570
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60925510
WA
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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