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1619447711
JONATHAN ERIC CARLSON
YAKIMA, WA
NPI
1619447711
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-11-30
Last Update Date
2018-11-30
Business Address
Mr. JONATHAN ERIC CARLSON CDPT
315 N 2ND ST
YAKIMA, WA 98901-2334
Phone number: 509-469-9366
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Mailing Address
Mr. JONATHAN ERIC CARLSON CDPT
315 N 2ND ST
YAKIMA, WA 98901-2334
Phone number: 509-469-9366
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