Individual
MR. PETER AUGUST JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6750 MISSION RD, EVERSON, WA 98247-9749
(360) 966-7704
(360) 966-4225
Mailing address
PO BOX 157, DEMING, WA 98244-0157
(360) 966-7704
(360) 966-4225
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP 00001117
WA
Other
Enumeration date
09/03/2009
Last updated
09/03/2009
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