Nooksack Central Management System

NPI 1063739738 - Counselor - 101YA0400X

NPI Details
NPI 1063739738
Enumeration Date 04/21/2010
Last Updated 04/21/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name KEVIN KEVIN
Position DIRECTOR OF TREATMENT SERVICES
Phone (425) 508-3967
Fax
Practice Location
3003 CABIN CREEK ROAD
EASTON WA, 98925, US
Phone (425) 508-3967
Fax
Business Location
PO BOX 157
DEMING WA, 98244-0157, US
Phone (360) 966-7704
Fax (360) 966-4225
Toxanomy
Taxonomy Code 101YA0400X
License State
License Number
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According to our database, Nooksack Central Management System NPI is 1063739738, taxonomy code is 101YA0400X Nooksack Central Management System physically located at 3003 Cabin Creek Road, Easton WA, 98925. NPI Number 1033115704 has the healthcare provider type.

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1063739738 NPI number is provided on an as is basis without warranty of any kind. 1063739738 is maintained by the National Plan & Provider Enumeration System. The contents of Nooksack Central Management System are for informational purposes only.