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Mr. Clussie Bagby
Addiction (Substance Use Disorder) Counselor in Renton, Washington
NPI 1174214076

Clussie Bagby is an Addiction (Substance Use Disorder) Counselor based in Renton, WA and is specialized in Addiction (Substance Use Disorder). Clussie Bagby practices in Renton, WA. The NPI Number for Clussie Bagby is 1174214076 and holds a License No. (Washington).

The current practice location address for Clussie Bagby is 15 S Grady Way Ste 245, Renton, WA and can be reached out via phone at 206-679-8291 and via fax at 206-274-6252.

Location: 15 S Grady Way Ste 245, Renton, WA, 98057-3209
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174214076
Provider Name
Clussie Bagby
Credential
Provider Entity Type
Individual
Gender
Male
Address
15 S Grady Way Ste 245, Renton, WA, 98057-3209
Phone Number
206-679-8291
Fax Number
206-274-6252
Provider Enumeration Date
05/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15 S Grady Way Ste 245
City
Renton
State
Washington
Zip
98057-3209
Phone Number
206-679-8291
Fax Number
206-274-6252
person
Provider Business Mailing Address Details
Address
15 S Grady Way Ste 245
City
Renton
State
Washington
Zip
98057-3209
Phone Number
206-679-8291
Fax Number
206-274-6252
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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