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1184123929
JAMES ANTHONY LAPORTA
KELSO, WA
NPI
1184123929
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60814728)
Enumeration Date
2018-02-07
Last Update Date
2019-11-21
Business Address
Mr. JAMES ANTHONY LAPORTA CDPT
305 PACIFIC AVE S STE 102
KELSO, WA 98626-1638
Phone number: 360-577-7442
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Mailing Address
Mr. JAMES ANTHONY LAPORTA CDPT
PO BOX 1847
LONGVIEW, WA 98632-8140
Phone number: 360-423-0203
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