Individual
MR. BUSTER JONAS RADVIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1160 140TH AVE NE, STE. F, BELLEVUE, WA 98005-2978
(425) 454-0616
Mailing address
1160 140TH AVE NE, STE. F, BELLEVUE, WA 98005-2978
(425) 454-0616
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60232149
WA
Other
Enumeration date
07/06/2012
Last updated
07/06/2012
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