Individual
DAMONT VANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2133 3RD AVE, SEATTLE, WA 98121-2385
(206) 432-3574
Mailing address
2133 3RD AVE, SEATTLE, WA 98121-2385
(206) 432-3574
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
60549425
WA
171M00000X
Case Manager/Care Coordinator
Primary
—
WA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/19/2019
Last updated
03/19/2020
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