TIMOTHY FIELDS

YAKIMA, WA
NPI1902377013
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO60886724)
Enumeration Date2018-12-16
Last Update Date2018-12-16
Business Address
TIMOTHY FIELDS CO60886724
120 S 3RD ST
YAKIMA, WA 98901-2875
Phone number: 509-865-6705
Mailing Address
TIMOTHY FIELDS CO60886724
1212 S 8TH AVE
YAKIMA, WA 98902-5511
Phone number: 509-865-6705
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