WYLIE JOE SUMMERLIN

LYNNWOOD, WA
NPI1780148239
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO60853222)
Enumeration Date2019-01-29
Last Update Date2019-01-29
Business Address
WYLIE JOE SUMMERLIN
4230 198TH ST SW
LYNNWOOD, WA 98036-6762
Phone number: 425-248-4900
Mailing Address
WYLIE JOE SUMMERLIN
4230 198TH ST SW
LYNNWOOD, WA 98036-6762
Phone number: 425-248-4900