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NPI Code Detail

MEDICARE: STEVEN LAYTON CO 60699642

MEDICARE: STEVEN LAYTON CO 60699642
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1245884683
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN LAYTON CO 60699642
Provider Business Mailing Address
First Line : 1415 LUMSDEN RD
Second Line :
City : PORT ORCHARD
State : WA
Zip : 98367-9179
Country : US
Telephone Number : 360-876-9430
Fax Number : 360-876-0713
Provider Business Practice Location Address
First Line : 1415 LUMSDEN RD
Second Line :
City : PORT ORCHARD
State : WA
Zip : 98367-9179
Country : US
Telephone Number : 360-876-9430
Fax Number : 360-876-0713
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2019
Last Update Date : 07/24/2019

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Directions to “ STEVEN LAYTON CO 60699642” Practice Location

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