Healthcare Provider Details

I. General information

NPI: 1497846406
Provider Name (Legal Business Name): WILLIAM GUIDO GARNER MA, CAS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: BILL GUIDO GARNER MA, CAS

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1660 S COLUMBIAN WAY
SEATTLE WA
98108-1532
US

IV. Provider business mailing address

5228 S 237TH PL
KENT WA
98032-3304
US

V. Phone/Fax

Practice location:
  • Phone: 206-762-1010
  • Fax: 206-764-2192
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberC3151
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: