JACOB PAUL SURGNIER

VANCOUVER, WA
NPI1992512388
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO61606788)
Enumeration Date2024-12-18
Last Update Date2024-12-18
Business Address
JACOB PAUL SURGNIER
6926 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98661-7254
Phone number: 360-993-3000
Mailing Address
JACOB PAUL SURGNIER
6926 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98661-7254
Phone number:
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