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Individual

DAVID JAMES MYERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CDPT

Contact information

Practice address
1026 E 1ST ST, PORT ANGELES, WA 98362-4020
(360) 452-4432
Mailing address
PO BOX 3234, PORT ANGELES, WA 98362-0342
(360) 797-4340

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60235777
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CO60235777
CDPT
WA
Enumeration date
09/27/2012
Last updated
09/27/2012
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