Individual
MR. MARCO ANTONIO MEDINA SOTELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
113 23RD AVENUE SOUTH, SEATTLE, WA 98144
(206) 219-5980
(206) 812-6161
Mailing address
113 23RD AVENUE SOUTH, SEATTLE, WA 98144
(206) 219-5980
(206) 812-6161
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00002170
WA
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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