Most Relevant Information
Provider Data
NPI Number: | 1003339839 |
Provider Name: | SIERRA WOLLEN |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 07/24/2017 |
Last Updated: | 07/24/2017 |
Provider Practice Location
6400 SOUTHCENTER BLVD
TUKWILA
WA
981882547
Practice Location Phone/Fax
Phone: | 2064443600 |
Fax: | 2064443610 |
Provider Mailing Location
1600 E OLIVE ST
SEATTLE
WA
981222735
Provider Mailing Phone/Fax
Phone: | |
Fax: |