Individual
CHRISTIAN BALTAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4238 AUBURN WAY N, AUBURN, WA 98002-1311
(206) 941-6543
Mailing address
6400 SOUTHCENTER BLVD, TUKWILA, WA 98188-2547
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D4754505
—
CA
Enumeration date
04/09/2018
Last updated
12/03/2024
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