Individual
JOSEPH FRANKLIN REVARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2322 196TH ST SW, LYNNWOOD, WA 98036-7010
(425) 984-0788
Mailing address
7514 208TH ST SW APT 100, EDMONDS, WA 98026-7280
(206) 769-6182
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
61521518
WA
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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