Individual provider · Type 1 NPI
Peter Paul Lack
Addiction (Substance Use Disorder) Psychologist · Port Townsend, WA
Practice location
3804 Hastings Ave W
Port Townsend, WA 98368-9642
Fax (360) 385-3605
Mailing address
PO Box 102
Port Townsend, WA 98368-0102
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Psychologist Primary | 103TA0400X | CP00006346 (WA) |
Addiction (Substance Use Disorder) Psychologist: A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behav…
5 other providers at this address
- Gray Wolf RanchSubstance Abuse Rehabilitation Facility Port Townsend, WA NPI 1649546714
- Washington Health Operations LLCPsychiatric Residential Treatment Facility Port Townsend, WA NPI 1598323925
- Jordan Patricia Carr, LMHC-AMental Health Counselor Port Townsend, WA NPI 1922784073
- Kris Lee KampfAddiction (Substance Use Disorder) Counselor Port Townsend, WA NPI 1144630096
- Paige Elise Coffing, LSWAICClinical Social Worker Port Townsend, WA NPI 1538771027
About NPI 1033529987
Peter Paul Lack's National Provider Identifier is 1033529987, issued on Apr 30, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Psychologist (103TA0400X), and the practice location is in Port Townsend, WA. The record was last updated on Apr 30, 2014.