| Provider Type: | Behavioral Health & Social Service Providers |
| Provider Classification: | Counselor |
| Definition of Specialization: | |
| Address: |
16315 Ne 87th St Ste B6 Redmond, WA 98052-3537 |
| Phone: | (425) 882-1697 |
| Fax: | (425) 885-4179 |
| Gender: | Male |
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