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1982082434
TIMOTHY BALES
VANCOUVER, WA
NPI
1982082434
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP60590319)
Enumeration Date
2015-05-15
Last Update Date
2022-04-07
Business Address
TIMOTHY BALES SUDP
6926 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98661-7254
Phone number: 360-993-3000
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Mailing Address
TIMOTHY BALES SUDP
6926 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98661-7254
Phone number:
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