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1083487102
KEVIN ROSS KOELSCH
PORT ANGELES, WA
NPI
1083487102
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO61488824)
Enumeration Date
2023-10-31
Last Update Date
2023-10-31
Business Address
KEVIN ROSS KOELSCH SUDPT
3430 E HIGHWAY 101
PORT ANGELES, WA 98362-9068
Phone number: 360-452-4062
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Mailing Address
KEVIN ROSS KOELSCH SUDPT
3430 E HIGHWAY 101
PORT ANGELES, WA 98362-9068
Phone number: 360-452-4062
Copy
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