Individual
MCKENZIE JAMES AIRHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDPT
Contact information
Practice address
6005 TYEE DR SW, TUMWATER, WA 98512-7356
(253) 906-0273
Mailing address
PO BOX 98095, LAKEWOOD, WA 98496-8095
(253) 906-0273
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60936167
WA
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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