TIMOTHY TACKELS

MOUNT VERNON, WA
NPI1023465176
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP 00002256)
Enumeration Date2016-05-18
Last Update Date2016-05-18
Business Address
-- TIMOTHY TACKELS CP 00002256
1601 E COLLEGE WAY
MOUNT VERNON, WA 98273-5612
Phone number: 360-848-8437
Mailing Address
-- TIMOTHY TACKELS CP 00002256
1601 E COLLEGE WAY
MOUNT VERNON, WA 98273-5612
Phone number:
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