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Individual
MR. JEREMIAH THUNDERWALKER SAUCIER
Active
Individual
MR. JEREMIAH THUNDERWALKER SAUCIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SUDP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60117863
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO60117863
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
01
—
RC60098609
WA STATE DEPARTMENT OF HEALTH
WA
Enumeration date
11/06/2009
Last updated
04/12/2022
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