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1912319724
JOHN WASHINGTON
OREM, UT
NPI
1912319724
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-05-28
Last Update Date
2014-05-28
Business Address
-- JOHN WASHINGTON ACMHC
224 N OREM BLVD
OREM, UT 84057-6601
Phone number: 801-222-0603
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Mailing Address
-- JOHN WASHINGTON ACMHC
PO BOX 51275
PROVO, UT 84605-1275
Phone number: 801-222-0603
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