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Individual

MR. JAMES PATRICK GIVEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
SUDP, CADC III

Contact information

Practice address
4800 COLLEGE ST SE, LACEY, WA 98503-4389
(804) 981-9859
Mailing address
3155 BELAIR CT, CAMARILLO, CA 93010-4921
(805) 910-0783

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
B00003161123
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP61497648
WA

Other

Enumeration date
03/30/2011
Last updated
05/21/2024
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