MATTHEW MIXON

TACOMA, WA
NPI1275001620
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-11-04
Last Update Date2018-11-04
Business Address
MATTHEW MIXON
15318 14TH AVENUE CT E
TACOMA, WA 98445-2496
Phone number: 253-324-3616
Mailing Address
MATTHEW MIXON
15318 14TH AVENUE CT E
TACOMA, WA 98445-2496
Phone number: 253-324-3583
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