Brandon Marsicek

NPI # 

Practice Address:

419 Ne 71St St Apt 407

Seattle, WA, 98115

Practice Phone:

906-295-0949

License Number:

CG60675292

License State:

WA

Taxonomy Grouping:

Behavioral Health & Social Service Providers

Taxonomy Classification:

Counselor

Taxonomy Code:

101Y00000X

Deactivation Date:

2018-01-23T00:00:00.000Z

Deactivation Code:

None

Reactivation Date:

2019-07-03T00:00:00.000Z