JOAQUIN ANTOINE

PORT ORCHARD, WA
NPI1578156022
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  61036507)
Enumeration Date2021-02-16
Last Update Date2021-02-16
Business Address
Mr. JOAQUIN ANTOINE
2475 BETHEL RD SE
PORT ORCHARD, WA 98366-2490
Phone number: 360-876-9430
Mailing Address
Mr. JOAQUIN ANTOINE
17219 132ND ST NW
GIG HARBOR, WA 98329-5600
Phone number: 253-858-1600