Individual
MR. WALTER FRANCIS FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 764-2457
Mailing address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 764-2457
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00001482
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP0001482
CDP
WA
Enumeration date
09/27/2006
Last updated
07/08/2007
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