Individual provider · Type 1 NPI

Stacy Raeann Wirkkala, SUDPT

Addiction (Substance Use Disorder) Counselor · Kelso, WA

NPI number 1144973223 Active

Practice location

404 W Main St
Kelso, WA 98626-1118

Call (360) 423-2806 Map

Mailing address

190 Grasseth Poston Rd
Longview, WA 98632-9147

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCO61077791 (WA)

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

20 other providers at this address

Other addiction (substance use disorder) counselor providers in Kelso

See all in Kelso →

About NPI 1144973223

Stacy Raeann Wirkkala, SUDPT's National Provider Identifier is 1144973223, issued on Jan 30, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Kelso, WA. The record was last updated on Jul 1, 2023.