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Individual

MR. MICHAEL DELAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AAC, CDPT

Contact information

Practice address
1601 E 4TH PLAIN BLVD, BLDG 17 STE B222, VANCOUVER, WA 98661-3753
(360) 397-8484
(360) 397-8494
Mailing address
PO BOX 1845, VANCOUVER, WA 98668-1845
(360) 397-8484
(360) 397-8494

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60402125
WA
101YM0800X
Mental Health Counselor
CG60314589
WA

Other

Enumeration date
08/21/2013
Last updated
08/21/2013
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