person
Mr. Theodore Bryan Tennison, CDPT
Addiction (Substance Use Disorder) Counselor in Tacoma, Washington
NPI 1891270153

Theodore Bryan Tennison is an Addiction (Substance Use Disorder) Counselor based in Seattle, WA and is specialized in Addiction (Substance Use Disorder). Theodore Bryan Tennison practices in Tacoma, WA and has the professional credentials of CDPT. The NPI Number for Theodore Bryan Tennison is 1891270153 and holds a License No. CP61071467 (Washington).

The current practice location address for Theodore Bryan Tennison is 1415 Center St, Tacoma, WA and can be reached out via phone at 253-280-9860 and via fax at 253-280-9870.

Location: 1415 Center St, Tacoma, WA, 98124-1703
person
Provider Profile Details
NPI Number
1891270153
Provider Name
Theodore Bryan Tennison
Credential
CDPT
Provider Entity Type
Individual
Gender
Male
Address
1415 Center St, Tacoma, WA, 98124-1703
Phone Number
253-280-9860
Fax Number
253-280-9870
Provider Enumeration Date
10/02/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1415 Center St
City
State
Zip
98409-8210
Phone Number
253-280-9860
Fax Number
253-280-9870
person
Provider Business Mailing Address Details
Address
1415 Center St
City
State
Zip
98409-8210
Phone Number
253-280-9860
Fax Number
253-280-9870
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CP61071467 (Washington)
Definition
Definition to come...
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