Provider Demographics
NPI:1598948481
Name:MUNSON, PAUL D (BA, RC)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:D
Last Name:MUNSON
Suffix:
Gender:M
Credentials:BA, RC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 9TH AVE
Mailing Address - Street 2:BOX 359797
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-2420
Mailing Address - Country:US
Mailing Address - Phone:206-744-9690
Mailing Address - Fax:206-744-9920
Practice Address - Street 1:401 BROADWAY
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-7302
Practice Address - Country:US
Practice Address - Phone:206-744-9690
Practice Address - Fax:206-744-9920
Is Sole Proprietor?:No
Enumeration Date:2007-12-13
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC00017782101YM0800X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health