Individual provider · Type 1 NPI

Estanislao Mahan Iraola Jr.

Addiction (Substance Use Disorder) Counselor · Shoreline, WA

NPI number 1609387026 Active

Practice location

17018 15th Ave NE
Shoreline, WA 98155-5126

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1609387026

Estanislao Mahan Iraola Jr.'s National Provider Identifier is 1609387026, issued on Oct 12, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Shoreline, WA. The record was last updated on Oct 12, 2017.