NICKOLAS CASEY ROOT

CHEHALIS, WA
NPI1114581261
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA  60831015)
Enumeration Date2019-04-24
Last Update Date2019-04-24
Business Address
MR. NICKOLAS CASEY ROOT CDP
135 W MAIN ST
CHEHALIS, WA 98532-4817
Phone number: 360-748-4339
Mailing Address
MR. NICKOLAS CASEY ROOT CDP
135 W MAIN ST
CHEHALIS, WA 98532-4817
Phone number: 360-748-4339
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