JONATHAN EDGERTON

LONGVIEW, WA
NPI1285174227
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  MC60720008)
Enumeration Date2017-02-23
Last Update Date2017-02-23
Business Address
-- JONATHAN EDGERTON
921 14TH AVE
LONGVIEW, WA 98632-2316
Phone number: 360-423-0203
Mailing Address
-- JONATHAN EDGERTON
921 14TH AVE
LONGVIEW, WA 98632-2316
Phone number: 360-423-0203
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