Individual
MICHELLE AGNES MCCLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP-T
Contact information
Practice address
2601 SUMMIT AVE, EVERETT, WA 98201-3309
(425) 322-0812
Mailing address
2601 SUMMIT AVE, EVERETT, WA 98201-3309
(425) 322-0812
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61018651
WA
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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