Individual
CHANNON AGOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10215 LAKE CITY WAY NE STE H, SEATTLE, WA 98125-7758
(206) 417-9904
Mailing address
7450 WOODLAWN AVE NE, SEATTLE, WA 98115-5339
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/15/2017
Last updated
06/15/2017
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