Individual
CHANCE AZAYZUL BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2133 3RD AVE, SEATTLE, WA 98121-2385
(206) 971-8830
Mailing address
1515 6TH AVE W APT 302, SEATTLE, WA 98119-3258
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/27/2022
Last updated
03/27/2022
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