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1447937719
JASON G HALSTEAD
ABERDEEN, WA
NPI
1447937719
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA CP61409282)
Enumeration Date
2023-06-29
Last Update Date
2023-06-29
Business Address
JASON G HALSTEAD SUDP
511 W HERON ST
ABERDEEN, WA 98520-6022
Phone number: 564-544-1950
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Mailing Address
JASON G HALSTEAD SUDP
511 W HERON ST
ABERDEEN, WA 98520-6022
Phone number: 564-544-1950
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