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1457951311
JONATHAN B HALL
PORT ANGELES, WA
NPI
1457951311
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-10-29
Last Update Date
2020-10-29
Business Address
JONATHAN B HALL SUDPT
1107 GRANT AVE
PORT ANGELES, WA 98362-2728
Phone number: 360-395-2976
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Mailing Address
JONATHAN B HALL SUDPT
1107 GRANT AVE
PORT ANGELES, WA 98362-2728
Phone number:
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