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NOOKSACK TRIBES GENESIS II NPI 1699975466


NPI Information

NPI: 1699975466
Provider Name: NOOKSACK TRIBES GENESIS II
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
6750 MISSION RD
EVERSON, WA
ZIP 98247
Phone: (360) 966-7704
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NOOKSACK TRIBES GENESIS II is an addiction (substance use disorder) counselor in Everson, WA. NOOKSACK TRIBES GENESIS II NPI is 1699975466. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6750 MISSION RD
EVERSON, WA
ZIP 98247-749
Phone: (360) 966-7704
Fax: (360) 966-4225

The provider's authorized official is William W. Woolsey .
The authorized official title is Treatment Director and has the following contact phone number (360) 966-7704.

The enumeration date for this NPI number is 7/20/2007 and was last updated on 7/20/2007.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)020300WASHINGTONYes

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

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