Individual
MRS. MICHELLE COLLEEN BRUNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1114 PACIFIC AVE, EVERETT, WA 98201-4231
(425) 258-5270
Mailing address
10909 17TH PL W, EVERETT, WA 98204-8732
(425) 353-3603
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
WA
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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