Mr. Clussie Bagby
Mr. Clussie Bagby is an Addiction (Substance Use Disorder) Counselor in Renton, Washington. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
15 S Grady Way Ste 245Renton, WA 98057-3209
Phone: (206) 679-8291
Fax: (206) 274-6252
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1174214076 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 19, 2023 |
| Last updated in NPPES | May 19, 2023 |
| Certification date | May 19, 2023 |
| Mailing address | 15 S Grady Way Ste 245, Renton, WA 98057-3209 |
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