Individual provider · Type 1 NPI

John Lawrence Churchward Sr., CDP

Addiction (Substance Use Disorder) Counselor · Tacoma, WA

NPI number 1174095020 Active

Practice location

3629 S D St
Tacoma, WA 98418-6813

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP60437986

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

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About NPI 1174095020

John Lawrence Churchward Sr., CDP's National Provider Identifier is 1174095020, issued on Dec 17, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tacoma, WA. The record was last updated on Sep 27, 2019.