John Bradley Amell, Peer Counselor
Peer Specialist in Seattle, WA. Individual provider (NPI-1).
NPI number1164031480
StatusActive
Last updated in NPPESJul 23, 2020
Details
- NPI
- 1164031480
- Entity type
- Individual (NPI-1)
- Name
- Mr. John Bradley Amell
- Credential
- Peer Counselor
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 23, 2020
- Certification date
- Jul 23, 2020
- Last updated
- Jul 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | CG60920290 | WA | Yes |
Practice location
222 Wall St # 100Seattle, WA 98121-1431
Phone 206-441-3043 · Fax 206-441-4155
Mailing address
515 3rd AveSeattle, WA 98104-2304
Phone 206-464-1570 · Fax 206-624-4196
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