DUSTIN MARTIN AVILA

TACOMA, WA
NPI1871370841
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  61472800)
Enumeration Date2023-09-12
Last Update Date2023-09-12
Business Address
DUSTIN MARTIN AVILA SUDP-T
3209 N 7TH ST
TACOMA, WA 98406-5905
Phone number: 408-310-2062
Mailing Address
DUSTIN MARTIN AVILA SUDP-T
3209 N 7TH ST
TACOMA, WA 98406-5905
Phone number: 408-310-2062
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