Individual
JOHN MORTINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDPT
Contact information
Practice address
3773 MARTIN WAY E, BLGG A, SUITE 105, OLYMPIA, WA 98506-5048
(360) 688-7312
(360) 688-7318
Mailing address
1534 THOMAS ST NW, OLYMPIA, WA 98502-3110
(360) 402-2105
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO 60689181
WA
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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