Individual
JUSTIN RYAN STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDP-T
Contact information
Practice address
10344 14TH AVE S, SEATTLE, WA 98168-1689
(206) 767-0244
(206) 767-5964
Mailing address
10344 14TH AVE S, SEATTLE, WA 98168-1689
(206) 767-0244
(206) 767-5964
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP61356330
WA
Other
Enumeration date
03/18/2021
Last updated
11/14/2023
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