person
Antonio Zavala Sosa, ATA
Addiction (Substance Use Disorder) Counselor in Mount Vernon, Washington
NPI 1386790020

Antonio Zavala Sosa is an Addiction (Substance Use Disorder) Counselor based in Seattle, WA and is specialized in Addiction (Substance Use Disorder). Antonio Zavala Sosa practices in Mount Vernon, WA and has the professional credentials of ATA. The NPI Number for Antonio Zavala Sosa is 1386790020 and holds a License No. CP00004425 (Washington).

The current practice location address for Antonio Zavala Sosa is 2500 E College Way, Mount Vernon, WA and can be reached out via phone at 360-428-8912 and via fax at 360-424-6288. You can also correspond with Antonio Zavala Sosa through the mailing address at PO BOX 34703, SEATTLE, WA - 98124-1703 (mailing address contact number: 206-764-0112).

Location: 2500 E College Way, Mount Vernon, WA, 98124-1703
person
Provider Profile Details
NPI Number
1386790020
Provider Name
Antonio Zavala Sosa
Credential
ATA
Provider Entity Type
Individual
Gender
Male
Address
2500 E College Way, Mount Vernon, WA, 98124-1703
Phone Number
360-428-8912
Fax Number
360-424-6288
Provider Enumeration Date
01/26/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1992718 05 WA
institution
Provider Business Practice Location Address Details
Address
2500 E College Way
City
State
Zip
98273-5862
Phone Number
360-428-8912
Fax Number
360-424-6288
person
Provider Business Mailing Address Details
Address
2500 E College Way
City
State
Zip
98273-5862
Phone Number
360-428-8912
Fax Number
360-424-6288
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CP00004425 (Washington)
Definition
Definition to come...
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