Most Relevant Information
Provider Data
NPI Number: | 1003485475 |
Provider Name: | MERISSA DONTA MECHELA TRYVEN HULL |
Entity Type: | Individual |
Taxonomy Code: | 101YA0400X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 06/21/2021 |
Last Updated: | 06/21/2021 |
Provider Practice Location
1960 THOMPSON DR
SEDRO WOOLLEY
WA
982845007
Practice Location Phone/Fax
Phone: | 3608563186 |
Fax: |
Provider Mailing Location
7440 W MARGINAL WAY S
SEATTLE
WA
981084141
Provider Mailing Phone/Fax
Phone: | |
Fax: |