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1104184902
JOHN RICHARD THELEN
BELLINGHAM, WA
NPI
1104184902
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-04-30
Last Update Date
2012-04-30
Business Address
-- JOHN RICHARD THELEN
1200 DUPONT ST STE 1A
BELLINGHAM, WA 98225-3100
Phone number: 360-647-7577
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Mailing Address
-- JOHN RICHARD THELEN
3645 E MCLEOD RD
BELLINGHAM, WA 98226-8700
Phone number:
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