JOHN MORTINSON

OLYMPIA, WA
NPI1972052934
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO 60689181)
Enumeration Date2016-09-30
Last Update Date2016-09-30
Business Address
-- JOHN MORTINSON CDPT
3773 MARTIN WAY E BLGG A, SUITE 105
OLYMPIA, WA 98506-5048
Phone number: 360-688-7312
Mailing Address
-- JOHN MORTINSON CDPT
1534 THOMAS ST NW
OLYMPIA, WA 98502-3110
Phone number: 360-402-2105