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Individual

BRANDON WYATT PING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA PSYCH

Contact information

Practice address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-6200
Mailing address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-6200

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CG61147855
WA

Other

Enumeration date
03/14/2018
Last updated
03/23/2021
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