Individual
MR. BRYAN MCKAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
614 PETERSON RD, BURLINGTON, WA 98233-2606
(360) 757-0131
(360) 757-0136
Mailing address
614 PETERSON RD, BURLINGTON, WA 98233-2606
(360) 757-0131
(360) 757-0136
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP 60497603
WA
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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