QUILEUTE COUNSELING AND RECOVERY SUBSTANCE USE DISORDER NPI 1861950859

NPI Information

NPI: 1861950859
Provider Name: QUILEUTE COUNSELING AND RECOVERY SUBSTANCE USE DISORDER
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
560 QUILEUTE HEIGHTS LOOP
LA PUSH, WA
ZIP 98350
Phone: (360) 374-3358
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QUILEUTE COUNSELING AND RECOVERY SUBSTANCE USE DISORDER is an addiction (substance use disorder) counselor in La Push, WA. QUILEUTE COUNSELING AND RECOVERY SUBSTANCE USE DISORDER NPI is 1861950859. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

560 QUILEUTE HEIGHTS LOOP
LA PUSH, WA
ZIP 98350
Phone: (360) 374-3358

The provider's authorized official is Gary Bryan Goodwin .
The authorized official title is Billing Agency and has the following contact phone number (360) 867-0709.

The enumeration date for this NPI number is 3/8/2019 and was last updated on 3/8/2019.

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)			Yes

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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