Individual
DYLAN O'NEIL SPOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDPT
Contact information
Practice address
1016 COMMERCIAL ST, RAYMOND, WA 98577-2631
(360) 942-2474
(360) 533-9750
Mailing address
6005 TYEE DR SW, TUMWATER, WA 98512-7356
(360) 464-6700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
61518322
WA
Other
Enumeration date
04/05/2024
Last updated
04/05/2024
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