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Estanislao Mahan Iraola JR.
Addiction (Substance Use Disorder) Counselor in Shoreline, Washington
NPI 1609387026

Estanislao Mahan Iraola JR. is an Addiction (Substance Use Disorder) Counselor based in Shoreline, WA and is specialized in Addiction (Substance Use Disorder). Estanislao Mahan Iraola JR. practices in Shoreline, WA. The NPI Number for Estanislao Mahan Iraola JR. is 1609387026 and holds a License No. (Washington).

The current practice location address for Estanislao Mahan Iraola JR. is 17018 15Th Ave Ne, Shoreline, WA and can be reached out via phone at 206-362-7282.

Location: 17018 15Th Ave Ne, Shoreline, WA, 98155-5126
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609387026
Provider Name
Estanislao Mahan Iraola JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
17018 15Th Ave Ne, Shoreline, WA, 98155-5126
Phone Number
206-362-7282
Fax Number
Provider Enumeration Date
10/12/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17018 15Th Ave Ne
City
Shoreline
State
Washington
Zip
98155-5126
Phone Number
206-362-7282
Fax Number
person
Provider Business Mailing Address Details
Address
17018 15Th Ave Ne
City
Shoreline
State
Washington
Zip
98155-5126
Phone Number
206-362-7282
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.
()
Definition
Definition to come...
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