DODDIE A LAGERVALL CP60310560 NPI 1669981510

NPI Information

NPI: 1669981510
Provider Name: DODDIE A LAGERVALL, CP60310560
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
320 S KITSAP BLVD
PORT ORCHARD, WA
ZIP 98366
Phone: (360) 377-3776
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Doddie A Lagervall, CP60310560 is an addiction (substance use disorder) counselor in Port Orchard, WA. Doddie A Lagervall, CP60310560 NPI is 1669981510. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

320 S KITSAP BLVD
PORT ORCHARD, WA
ZIP 98366-778
Phone: (360) 377-3776

The enumeration date for this NPI number is 9/22/2017 and was last updated on 9/22/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CP60310560	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CP60310560	OTHER	WASHINGTON	CHEMICAL DEPENDENCY PROFESSIONAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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