THEODORE BRYAN TENNISON

TACOMA, WA
NPI1891270153
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP61071467)
Enumeration Date2018-10-02
Last Update Date2022-10-19
Business Address
Mr. THEODORE BRYAN TENNISON CDPT
1415 CENTER ST
TACOMA, WA 98409-8210
Phone number: 253-280-9860
Mailing Address
Mr. THEODORE BRYAN TENNISON CDPT
PO BOX 34703
SEATTLE, WA 98124-1703
Phone number:
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