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Individual

BRENT PRITCHARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LSWAIC

Contact information

Practice address
4526 FEDERAL AVE # MS 11, EVERETT, WA 98203-2132
(425) 349-6200
(425) 392-6300
Mailing address
4526 FEDERAL AVE # MS 11, EVERETT, WA 98203-2132
(425) 349-6400

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60536435
WA
101YM0800X
Mental Health Counselor
Primary
WA

Other

Enumeration date
12/29/2015
Last updated
04/26/2021
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