SAGE BEACH

VANCOUVER, WA
NPI1750078002
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  61428672)
Enumeration Date2023-04-18
Last Update Date2023-04-18
Business Address
SAGE BEACH SUDPT
1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661-3717
Phone number: 360-397-8246
Mailing Address
SAGE BEACH SUDPT
812 SE 136TH AVE UNIT G66
VANCOUVER, WA 98683-6982
Phone number: 360-989-4073
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