PHILLIP CARSON

VANCOUVER, WA
NPI1730630724
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO60638054)
Enumeration Date2016-10-14
Last Update Date2020-08-12
Business Address
PHILLIP CARSON CDPT
3507 NE 127TH AVE
VANCOUVER, WA 98682-7657
Phone number: 360-513-9049
Mailing Address
PHILLIP CARSON CDPT
3507 NE 127TH AVE
VANCOUVER, WA 98682-7657
Phone number: 360-513-9049
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