Organization · Type 2 NPI

Nooksack Central Management System

Addiction (Substance Use Disorder) Counselor · Easton, WA

NPI number 1063739738 Active

Practice location

3003 Cabin Creek Road
Easton, WA 98925

Call (425) 508-3967 Map

Mailing address

PO Box 157
Deming, WA 98244-0157

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor Primary	101YA0400X	None listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

Another provider at this address

Nooksack Central Management SystemMental Health Counselor Easton, WA NPI 1881912145

NPI record

NPI: 1063739738
Entity type: Organization (Type 2)
Issued: Apr 21, 2010
Last updated: Apr 21, 2010
Status: Active
Subpart: Yes of Nooksack Tribes Genesis II

Other names

<unavail>
Nooksack Cabin Creek Youth Program · doing business as

Authorized official

Mr. Kevin Collins, CCDCII, CHT
Director of Treatment Services
(360) 966-7704

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About NPI 1063739738

Nooksack Central Management System's National Provider Identifier is 1063739738, issued on Apr 21, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Easton, WA. The record was last updated on Apr 21, 2010.