Individual
JUSTIN JOHN HARTFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
547 DAYTON ST, EDMONDS, WA 98020-3431
(425) 771-5166
Mailing address
8706 11TH ST NE, LAKE STEVENS, WA 98258-2428
(425) 387-2107
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60066891
WA
Other
Enumeration date
10/07/2011
Last updated
10/07/2011
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