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1528541430
BRIAN CHARLES ELLEZ
BELLEVUE, WA
NPI
1528541430
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: WA LH60885583)
Enumeration Date
2018-09-07
Last Update Date
2018-09-07
Business Address
BRIAN CHARLES ELLEZ LMHC
15314 SE 24TH ST
BELLEVUE, WA 98007-6314
Phone number: 425-679-9575
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Mailing Address
BRIAN CHARLES ELLEZ LMHC
15314 SE 24TH ST
BELLEVUE, WA 98007-6314
Phone number: 425-679-9575
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