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NPI Code Detail

MEDICARE: MR. AARON BRUCE WASSON SUDP, CAMS-II

MEDICARE: MR. AARON BRUCE WASSON SUDP, CAMS-II
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 : 1598511206
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. AARON BRUCE WASSON SUDP, CAMS-II
Provider Business Mailing Address
First Line : 3945 NE HIDDEN FIRS LN
Second Line :
City : BREMERTON
State : WA
Zip : 98311-9644
Country : US
Telephone Number : 360-689-3737
Fax Number :
Provider Business Practice Location Address
First Line : 3051 W SIMS WAY
Second Line :
City : PORT TOWNSEND
State : WA
Zip : 98368-2255
Country : US
Telephone Number : 360-385-1258
Fax Number : 360-343-9093
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2024
Last Update Date : 04/24/2024

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