BRENT WILLIAM MICHAUD

CENTRALIA, WA
NPI1598286791
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP60944835)
Enumeration Date2017-06-28
Last Update Date2020-10-30
Business Address
Mr. BRENT WILLIAM MICHAUD
1616 S. GOLD ST. #4
CENTRALIA, WA 98531-0001
Phone number: 360-807-4929
Mailing Address
Mr. BRENT WILLIAM MICHAUD
PO BOX 2394
LONGVIEW, WA 98632
Phone number: 360-200-5419
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