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1811592140
TIMOTHY JAMES ATKISSON
PORT ANGELES, WA
NPI
1811592140
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA 61090554)
Enumeration Date
2020-12-03
Last Update Date
2020-12-03
Business Address
TIMOTHY JAMES ATKISSON
825 E 5TH ST
PORT ANGELES, WA 98362-3818
Phone number: 360-477-4790
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Mailing Address
TIMOTHY JAMES ATKISSON
825 E 5TH ST
PORT ANGELES, WA 98362-3818
Phone number: 360-477-4790
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