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1639729890
JEREMY KUYKENDALL
YAKIMA, WA
NPI
1639729890
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60946744)
Enumeration Date
2019-09-18
Last Update Date
2019-09-18
Business Address
JEREMY KUYKENDALL CDPT
201 E LINCOLN AVE STE 100
YAKIMA, WA 98901-2348
Phone number: 509-457-5653
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Mailing Address
JEREMY KUYKENDALL CDPT
PO BOX 1207
YAKIMA, WA 98907-1207
Phone number: 509-457-5653
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