Individual
BRIAN JOHN DANFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
1600 S LANE ST, SEATTLE, WA 98144-2810
(206) 682-2371
Mailing address
1600 S LANE ST, SEATTLE, WA 98144-2810
(206) 682-2371
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60514054
WA
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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