Individual provider · Type 1 NPI

Minerva J. Etaugh, SUDP-T

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

NPI number 1720955966 Active

Practice location

716 S Chase St
Port Angeles, WA 98362-6122

Call (360) 395-2976 Map

Mailing address

828 E 4th St Apt 102
Port Angeles, WA 98362-3805

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDPT.CO.61580505 (WA)

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

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About NPI 1720955966

Minerva J. Etaugh, SUDP-T's National Provider Identifier is 1720955966, issued on Oct 22, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Port Angeles, WA. The record was last updated on Oct 22, 2025.