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Individual
CHRISTOPHER JEREMY MAGNUSEN
Active
Individual
CHRISTOPHER JEREMY MAGNUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP61448661
WA
Other
Enumeration date
06/29/2023
Last updated
08/26/2024
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