Individual provider · Type 1 NPI

Doddie A. Lagervall, CP60310560

Addiction (Substance Use Disorder) Counselor · Port Orchard, WA

NPI number 1669981510 Active

Practice location

320 S Kitsap Blvd
Port Orchard, WA 98366-3778

Mailing address

PO Box 960
Bremerton, WA 98337-0212

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP60310560 (WA)

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

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About NPI 1669981510

Doddie A. Lagervall, CP60310560's National Provider Identifier is 1669981510, issued on Sep 22, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Port Orchard, WA. The record was last updated on Sep 22, 2017.