Individual
SHELLY MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4120 STONE WAY N, SEATTLE, WA 98103-8014
(206) 545-2413
(206) 632-2437
Mailing address
4120 STONE WAY N, SEATTLE, WA 98103-8014
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP 00005923
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP 00005923
WASHINGTON STATE DEPT OF HEALTH
WA
Enumeration date
08/12/2016
Last updated
08/12/2016
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