Individual
MR. CHARLES FREDERICK COLLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 ELLIOTT AVE W STE 500, SEATTLE, WA 98119-4292
(206) 708-6432
Mailing address
2417 E UNION ST, SEATTLE, WA 98122-3045
(603) 359-3778
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
61222350
WA
1041C0700X
Clinical Social Worker
Primary
LW61544447
WA
Other
Enumeration date
09/05/2017
Last updated
09/10/2024
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