Individual
MELZAR CHARLES BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
510 TACOMA AVE S, TACOMA, WA 98402-5416
(253) 572-4750
(253) 272-6666
Mailing address
510 TACOMA AVE S, TACOMA, WA 98402-5416
(253) 572-4750
(253) 272-6666
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60587908
WA
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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