BRIAN LUNDQUIST

EVERETT, WA
NPI1720351653
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP 60025729)
Enumeration Date2012-02-23
Last Update Date2012-02-23
Business Address
-- BRIAN LUNDQUIST CDP
9930 EVERGREEN WAY BLDG Z
EVERETT, WA 98204-3883
Phone number: 425-347-5121
Mailing Address
-- BRIAN LUNDQUIST CDP
9930 EVERGREEN WAY BLDG Z
EVERETT, WA 98204-3883
Phone number: 425-347-5121
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