BROCK DUSTIN POHL

ELMA, WA
NPI1265945489
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP60568430)
Enumeration Date2017-11-09
Last Update Date2017-11-09
Business Address
BROCK DUSTIN POHL CDP
308 E. YOUNG ST.
ELMA, WA 98541
Phone number: 360-482-2674
Mailing Address
BROCK DUSTIN POHL CDP
PO BOX 477
ELMA, WA 98541-0477
Phone number: 360-482-2674