Healthcare Provider Details

I. General information

NPI: 1477028843
Provider Name (Legal Business Name): GARRETT CHRISTIAN HEBEL CDP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2018
Last Update Date: 05/03/2024
Certification Date: 05/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 BROADWAY
SEATTLE WA
98104
US

IV. Provider business mailing address

325 9TH AVE # 359797
SEATTLE WA
98104-2420
US

V. Phone/Fax

Practice location:
  • Phone: 206-744-9569
  • Fax: 206-744-9920
Mailing address:
  • Phone: 206-744-9569
  • Fax: 206-744-9920

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCP60685235
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLW61060408
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: