Individual
ANGELA F GROUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
10344 14TH AVE S, SEATTLE, WA 98168-1689
(206) 767-0244
(206) 767-5964
Mailing address
29719 53RD PL S, AUBURN, WA 98001-2345
(206) 794-1864
(206) 767-5964
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00000715
WA
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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