Individual
BENG LOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
720 8TH AVE S, SEATTLE, WA 98104-3032
(206) 695-7600
Mailing address
1433 12TH AVE, APT 208, SEATTLE, WA 98122
(206) 769-5545
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP0004902
WA
Other
Enumeration date
12/20/2007
Last updated
12/20/2007
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