Individual
MICHAEL BRISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA, CPC, SUDPT
Contact information
Practice address
5005 PACIFIC HWY E STE 20, FIFE, WA 98424-2647
(253) 922-9522
(253) 922-6955
Mailing address
5005 PACIFIC HWY E STE 20, FIFE, WA 98424-2647
(253) 922-9522
(253) 922-6955
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
61442091
WA
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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