KENNETH BRACONNIER

YAKIMA, WA
NPI1346789435
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA  CP60145197)
Enumeration Date2017-02-22
Last Update Date2017-02-22
Business Address
KENNETH BRACONNIER
5301 TIETON DR SUITE C
YAKIMA, WA 98908-3479
Phone number: 509-965-7100
Mailing Address
KENNETH BRACONNIER
5301 TIETON DR SUITE C
YAKIMA, WA 98908-3479
Phone number: 509-965-7100
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