Individual
GLISENYS J. HEYWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 S GRADY WAY STE 245, RENTON, WA 98057-3209
(206) 679-8291
Mailing address
15 S GRADY WAY STE 245, RENTON, WA 98057-3209
(206) 679-8291
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61553111
WA
Other
Enumeration date
08/10/2024
Last updated
08/10/2024
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