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1578861126
JESSE MATHEW POWELL
PASCO, WA
NPI
1578861126
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA CG60165616)
Enumeration Date
2011-03-07
Last Update Date
2011-03-07
Business Address
-- JESSE MATHEW POWELL
720 W COURT ST STE 8
PASCO, WA 99301-4178
Phone number: 509-545-6506
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Mailing Address
-- JESSE MATHEW POWELL
PO BOX 1452
PASCO, WA 99301-1223
Phone number: 509-547-2204
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