Individual
CHARLIE DELAVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1818 WESTLAKE AVE N STE 312, SEATTLE, WA 98109-2707
(206) 745-2764
Mailing address
2333 NE 128TH ST, SEATTLE, WA 98125-4228
(916) 704-3054
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MG60820343
WA
Other
Enumeration date
01/06/2021
Last updated
03/19/2022
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