Individual
MR. DAVID GRANT NOGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
2121 S 19TH ST, TACOMA, WA 98405-2922
(253) 396-1634
Mailing address
2121 S 19TH ST, TACOMA, WA 98405-2922
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60443801
WA
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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