MCKENZIE JAMES AIRHART

TUMWATER, WA
NPI1578120911
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA  CO60936167)
Enumeration Date2019-05-21
Last Update Date2019-05-21
Business Address
MCKENZIE JAMES AIRHART CDPT
6005 TYEE DR SW
TUMWATER, WA 98512-7356
Phone number: 253-906-0273
Mailing Address
MCKENZIE JAMES AIRHART CDPT
PO BOX 98095
LAKEWOOD, WA 98496-8095
Phone number: 253-906-0273
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