KYLE C PETRICEK

SEATTLE, WA
NPI1518571454
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  61223148)
Enumeration Date2020-09-08
Last Update Date2022-01-03
Business Address
KYLE C PETRICEK
619 N 35TH ST STE 206
SEATTLE, WA 98103-8640
Phone number: 630-300-4017
Mailing Address
KYLE C PETRICEK
2400 NW 80TH ST
SEATTLE, WA 98117-4449
Phone number: 630-300-4017