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1629791181
HALEY C TAKACH
VANCOUVER, WA
NPI
1629791181
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA 61294169)
Enumeration Date
2022-09-20
Last Update Date
2022-09-20
Business Address
HALEY C TAKACH SUDPT
1601 E FOURTH PLAIN BLVD
VANCOUVER, WA 98661-3713
Phone number: 360-397-8246
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Mailing Address
HALEY C TAKACH SUDPT
17818 SE 23RD ST
VANCOUVER, WA 98683-1843
Phone number: 360-901-2950
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