Individual
ALEXANDER CREIGHTON RUNNETTE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA,LMHC
Contact information
Practice address
561 N TRIBAL CENTER RD, SKOKOMISH NATION, WA 98584-7416
(360) 426-7788
Mailing address
561 N TRIBAL CENTER RD, SKOKOMISH NATION, WA 98584-7416
(360) 426-7788
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LW00005176
WA
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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