Individual
EDWARD JAMES MCGIVENEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1014 BAY ST STE 24, PORT ORCHARD, WA 98366-5244
(360) 602-0022
(360) 335-6432
Mailing address
1014 BAY ST STE 24, PORT ORCHARD, WA 98366-5244
(360) 602-0022
(360) 335-6432
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60748950
WA
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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