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1306900758
KENNETH BURTON
VANCOUVER, WA
NPI
1306900758
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA RC00040371)
Enumeration Date
2006-12-20
Last Update Date
2007-07-09
Business Address
-- KENNETH BURTON B.A.,CDPT
7507 NE 51ST ST
VANCOUVER, WA 98662-6007
Phone number: 360-906-1190
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Mailing Address
-- KENNETH BURTON B.A.,CDPT
PO BOX 82819
PORTLAND, OR 97282-0819
Phone number: 503-233-5405
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