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1093356008
JONATHON ROBERT COOK
OLYMPIA, WA
NPI
1093356008
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60960767)
Enumeration Date
2019-10-01
Last Update Date
2019-10-01
Business Address
JONATHON ROBERT COOK CDP-T
3773 MARTIN WAY E STE 105
OLYMPIA, WA 98506-4400
Phone number: 360-688-7318
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Mailing Address
JONATHON ROBERT COOK CDP-T
4836 BOSTON HARBOR RD NE
OLYMPIA, WA 98506-1843
Phone number: 360-489-5778
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