Individual provider · Type 1 NPI
Victor Cleveland, CDPT
Addiction (Substance Use Disorder) Counselor · Everett, WA
NPI number
1356859623
Active
Practice location
10315 19th Ave SE Ste 112
Everett, WA 98208-4268
Fax (206) 362-7152
Mailing address
10220 3rd Ave SE # L711
Everett, WA 98208-3957
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CO60802753 (WA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1356859623
Victor Cleveland, CDPT's National Provider Identifier is 1356859623, issued on Jan 19, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Everett, WA. The record was last updated on Jan 19, 2018.