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Individual

DAVID FLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMHC, SUDP

Contact information

Practice address
15458 21ST AVE SW, BURIEN, WA 98166-9816
(206) 327-4478
Mailing address
15458 21ST AVE SW, BURIEN, WA 98166-5801
(206) 327-4478

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP00006223
WA
101YM0800X
Mental Health Counselor
Primary
LH60548722
WA

Other

Enumeration date
04/05/2012
Last updated
07/08/2022
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