Individual provider · Type 1 NPI

Michelle Buckholz, SUDP

Addiction (Substance Use Disorder) Counselor · Kelso, WA

NPI number 1215323977 Active

Practice location

621 Grade St
Kelso, WA 98626-2606

Call (360) 425-9210 Map

Mailing address

1057 12th Ave
Longview, WA 98632-2509

Other practice locations

  • 2232 S Silver Lake Rd, Castle Rock, WA 98611-8021 · (360) 274-3262

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP60551022 (WA)

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

4 other providers at this address

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About NPI 1215323977

Michelle Buckholz, SUDP's National Provider Identifier is 1215323977, issued on Apr 9, 2015. 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 Oct 23, 2023.