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Zachary Renzetti, SUDP/T
Student in an Organized Health Care Education/Training Program in Renton, Washington
NPI 1588308332

Zachary Renzetti is a Student in an Organized Health Care Education/Training Program based in Kent, WA. Zachary Renzetti practices in Renton, WA and has the professional credentials of SUDP/T. The NPI Number for Zachary Renzetti is 1588308332 and holds a License No. 61076346 (Washington).

The current practice location address for Zachary Renzetti is 1412 Sw 43Rd St Ste 140, Renton, WA and can be reached out via phone at 425-264-0750.

Location: 1412 Sw 43Rd St Ste 140, Renton, WA, 98031-3210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588308332
Provider Name
Zachary Renzetti
Credential
SUDP/T
Provider Entity Type
Individual
Gender
Male
Address
1412 Sw 43Rd St Ste 140, Renton, WA, 98031-3210
Phone Number
425-264-0750
Fax Number
Provider Enumeration Date
04/26/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1412 Sw 43Rd St Ste 140
City
Renton
State
Washington
Zip
98057-4803
Phone Number
425-264-0750
Fax Number
person
Provider Business Mailing Address Details
Address
1412 Sw 43Rd St Ste 140
City
Renton
State
Washington
Zip
98057-4803
Phone Number
425-264-0750
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
61076346 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
61076346 (Washington)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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