Individual
MEGAN ASHLEY BAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP
Contact information
Practice address
2120 S PLUM ST STE A, SEATTLE, WA 98144-4539
(206) 441-3043
Mailing address
222 WALL ST STE 100, SEATTLE, WA 98121-1431
(206) 441-3043
(206) 441-4155
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP61034181
WA
171M00000X
Case Manager/Care Coordinator
60741359
WA
Other
Enumeration date
12/03/2018
Last updated
02/01/2022
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