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MR. THEODORE BRYAN TENNISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CDPT

Contact information

Practice address
1415 CENTER ST, TACOMA, WA 98409-8210
(253) 280-9860
(253) 280-9870
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP61071467
WA

Other

Enumeration date
10/02/2018
Last updated
10/19/2022
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