Individual
JOHN BELLEPHINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDPT
Contact information
Practice address
1227 2ND ST, MARYSVILLE, WA 98270-4906
(360) 651-2366
(360) 653-3119
Mailing address
1227 2ND ST, MARYSVILLE, WA 98270-4906
(360) 651-2366
(360) 653-3119
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60300104
WA
Other
Enumeration date
03/20/2014
Last updated
03/20/2014
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