Individual
BRYAN LEE BOX I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
3800 3RD ST SE, PUYALLUP, WA 98374
(253) 604-7423
Mailing address
3800 3RD ST SE, PUYALLUP, WA 98374-1109
(253) 604-7423
(253) 845-4742
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60243394
WA
Other
Enumeration date
02/12/2014
Last updated
07/24/2018
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