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Individual

MR. ADAM BLAKESLEE LITTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1618 S LANE ST, SEATTLE, WA 98144-2829
(206) 229-0937
Mailing address
515 3RD AVE, SEATTLE, WA 98104-2304

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG61302330
WA
175T00000X
Peer Specialist
Primary

Other

Enumeration date
04/19/2022
Last updated
02/08/2023
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