Individual
MICHAEL W WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDP
Contact information
Practice address
12330 NE 8TH ST STE 100, BELLEVUE, WA 98005-3187
(425) 454-2238
(425) 455-8482
Mailing address
12330 NE 8TH ST, BELLEVUE, WA 98005-3187
(425) 454-2238
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60534855
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP60534855
SUDP
WA
Enumeration date
09/22/2015
Last updated
10/26/2020
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