Individual
MR. BRIAN KELLY MCQUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW/CDPT
Contact information
Practice address
901 RAINIER AVE S, SEATTLE, WA 98144-2839
(206) 470-3856
(206) 470-3857
Mailing address
29020 1ST AVE S UNIT 40, DES MOINES, WA 98198-8271
(206) 251-2857
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO60456875
WA
1041C0700X
Clinical Social Worker
Primary
LW60727840
WA
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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