Organization · Type 2 NPI

Innovation Resource Center

Addiction (Substance Use Disorder) Counselor · Sunnyside, WA

NPI number 1336405141 Active

Practice location

214 S 6th St, Unit #3
Sunnyside, WA 98944-1446

Fax (509) 836-2400

Mailing address

PO Box 953
Sunnyside, WA 98944-0953

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP00006228 (WA)

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

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About NPI 1336405141

Innovation Resource Center's National Provider Identifier is 1336405141, issued on Apr 5, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sunnyside, WA. The record was last updated on Apr 5, 2012.