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1134734106
JANATHAN GRACE
SILVERDALE, WA
NPI
1134734106
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: WA LH61258275)
Enumeration Date
2020-09-15
Last Update Date
2024-02-14
Business Address
JANATHAN GRACE LMHC
9119 RIDGETOP BLVD NW STE 220
SILVERDALE, WA 98383-8549
Phone number: 360-516-0728
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Mailing Address
JANATHAN GRACE LMHC
40 NE SKIPPER CT
BELFAIR, WA 98528-9258
Phone number: 434-609-2004
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