Individual
BRIAN LUNDQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
9930 EVERGREEN WAY BLDG Z, EVERETT, WA 98204-3883
(425) 347-5121
(425) 353-6425
Mailing address
9930 EVERGREEN WAY BLDG Z, EVERETT, WA 98204-3883
(425) 347-5121
(425) 353-6425
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP 60025729
WA
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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