Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | ||
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) |
NPI | 1003321498 |
---|---|
Provider Name | James Piatt |
First Address | Bremerton, WA 98311-8330 |
Second Address | Bremerton, WA 98311-8330 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2017 |
Last Update Date | 10/08/2021 |