Individual
BART NATHANIEL WHEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1227 2ND ST, MARYSVILLE, WA 98270-4906
(360) 651-2366
Mailing address
1227 2ND ST, MARYSVILLE, WA 98270-4906
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO 60112516
WA
Other
Enumeration date
12/22/2009
Last updated
12/22/2009
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