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Individual

REUBEN C TWIN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CDP

Contact information

Practice address
611 12TH AVE S, SEATTLE, WA 98144-2007
(206) 324-9360
(206) 324-8910
Mailing address
1044 11TH AVE, LONGVIEW, WA 98632-2506
(360) 575-8275
(360) 575-1950

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00004047
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1993187
WA
Enumeration date
04/14/2007
Last updated
02/14/2020
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