Individual provider · Type 1 NPI
Mikel Cummings Boatman, SUDP
Addiction (Substance Use Disorder) Counselor · Kennewick, WA
NPI number
1700065877
Active
Practice location
415 N Morain St
Kennewick, WA 99336-2667
Fax (509) 735-6914
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CP60011890 (WA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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- Johanna Haberling-Mansfield, BS, CDPAddiction (Substance Use Disorder) Counselor Kennewick, WA NPI 1124527817
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- Alina Alyzay OlivarezAddiction (Substance Use Disorder) Counselor Kennewick, WA NPI 1063230621
- Aylin G. Duran Torralba, SUDPTAddiction (Substance Use Disorder) Counselor Kennewick, WA NPI 1083570394
- Ninfa A. Valenzuela, CDPTAddiction (Substance Use Disorder) Counselor Kennewick, WA NPI 1114480340
- Johanna Haberling-Mansfield, BS, CDPAddiction (Substance Use Disorder) Counselor Kennewick, WA NPI 1124527817
About NPI 1700065877
Mikel Cummings Boatman, SUDP's National Provider Identifier is 1700065877, issued on Oct 25, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Kennewick, WA. The record was last updated on May 13, 2020.