Individual
DON CONRAD G UY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1610 C ST, VANCOUVER, WA 98663-3440
(360) 787-2125
Mailing address
29404 NE TIMMEN RD, RIDGEFIELD, WA 98642-9265
(813) 991-2873
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60907372
WA
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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