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Individual

JOHN CASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CDPT

Contact information

Practice address
17714 4TH PL W, BOTHELL, WA 98012-9139
(425) 734-9860
Mailing address
17714 4TH PL W, BOTHELL, WA 98012-9139
(425) 734-9860

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60758786
WA

Other

Enumeration date
09/11/2017
Last updated
07/21/2022
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