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Individual

JAMES SKIPTON RUNYON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
SUDP-T

Contact information

Practice address
515 LAKEWAY DR, BELLINGHAM, WA 98225-5233
(360) 676-2187
Mailing address
515 LAKEWAY DR, BELLINGHAM, WA 98225-5233
(360) 676-2187

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
61187428
WA

Other

Enumeration date
08/11/2022
Last updated
08/11/2022
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