Eastside Addiction Professionals

NPI 1013109966 - Counselor - 101YM0800X

NPI Details
NPI 1013109966
Enumeration Date 08/15/2007
Last Updated 08/15/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LAURA LAURA
Position OWNER
Phone (425) 462-8558
Fax
Practice Location
1450 114TH AVE SE
STE 100
BELLEVUE WA, 98004-6962, US
Phone (425) 462-8558
Fax
Business Location
1450 114TH AVE SE
STE 100
BELLEVUE WA, 98004-6962, US
Phone (425) 462-8558
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State Washington
License Number LH00010662
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According to our database, Eastside Addiction Professionals NPI is 1013109966, taxonomy code is 101YM0800X and license number is LH00010662, license state is located at Washington. Eastside Addiction Professionals physically located at 1450 114th Ave Se, Bellevue WA, 98004-6962. NPI Number 1033115704 has the healthcare provider type.

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1013109966 NPI number is provided on an as is basis without warranty of any kind. 1013109966 is maintained by the National Plan & Provider Enumeration System. The contents of Eastside Addiction Professionals are for informational purposes only.