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1720742562
ADAM SIERRA PECK
VANCOUVER, WA
NPI
1720742562
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO61129943)
Enumeration Date
2021-10-27
Last Update Date
2021-10-27
Business Address
ADAM SIERRA PECK SUDPt
1601 E FOURTH PLAIN BLVD
VANCOUVER, WA 98661-3713
Phone number: 360-397-8246
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Mailing Address
ADAM SIERRA PECK SUDPt
2507 NE 87TH AVE
VANCOUVER, WA 98662-6850
Phone number: 360-909-3848
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