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1558840637
NATHAN DOUGLASS
VANCOUVER, WA
NPI
1558840637
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60808571)
Enumeration Date
2018-08-09
Last Update Date
2018-08-09
Business Address
NATHAN DOUGLASS
12503 SE MILL PLAIN BLVD STE 119A
VANCOUVER, WA 98684-4007
Phone number: 360-314-6507
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Mailing Address
NATHAN DOUGLASS
12503 SE MILL PLAIN BLVD STE 119A
VANCOUVER, WA 98684-4007
Phone number:
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