Individual
MR. TIMMOND K. MCMANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
811 MADISON ST, EVERETT, WA 98203-4543
(254) 212-4200
Mailing address
811 MADISON ST, EVERETT, WA 98203-4543
(254) 212-4200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
164X00000X
WA
Other
Enumeration date
04/12/2007
Last updated
03/21/2024
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