Individual
MR. VINCENT LEONARD MARQUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
211 TAYLOR ST, SUITE 20, PORT TOWNSEND, WA 98368-5753
(360) 385-1258
(360) 385-1258
Mailing address
211 TAYLOR ST, SUITE 20, PORT TOWNSEND, WA 98368-5753
(360) 385-1258
(360) 385-1258
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60027750
WA
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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