Individual
GUIDO INALEN DAVICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSWAIC
Contact information
Practice address
17018 15TH AVE NE, SHORELINE, WA 98155-5137
(206) 362-7282
Mailing address
17018 15TH AVE NE, SHORELINE, WA 98155-5137
(206) 362-7282
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
61498783
WA
101Y00000X
Counselor
Primary
SWIA.SC.61498783
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
61512729
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDP.CP.70084970
WA
Other
Enumeration date
02/02/2024
Last updated
05/04/2026
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