Individual provider · Type 1 NPI

Miles Raphael Weiss Gingrich

Addiction (Substance Use Disorder) Counselor · Mount Vernon, WA

NPI number 1093649279 Active

Practice location

1905 Continental Pl
Mount Vernon, WA 98273-5633

Call (360) 755-6400 Map

Fax (360) 755-6407

Mailing address

10 Loganberry Ln
Bellingham, WA 98229-4417

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDPT.CO.70142848 (WA)

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

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About NPI 1093649279

Miles Raphael Weiss Gingrich's National Provider Identifier is 1093649279, issued on Jun 11, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mount Vernon, WA. The record was last updated on Jun 11, 2026.