Individual
BRAD BRESOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 1ST AVE NW, EPHRATA, WA 98823-1602
(509) 925-7867
(509) 925-7871
Mailing address
120 1ST AVE NW, EPHRATA, WA 98823-1602
(509) 925-7867
(509) 925-7871
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00000105
WA
101YM0800X
Mental Health Counselor
LH00006881
WA
Other
Enumeration date
08/06/2015
Last updated
08/06/2015
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