Individual provider · Type 1 NPI

Thea Ann Scoggan, CAC III

Addiction (Substance Use Disorder) Counselor · Everett, WA

NPI number 1730424466 Active

Practice location

811 Madison St
Everett, WA 98203

Mailing address

PO Box 2569
Everett, WA 98213-0569

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XACC.0006562 (CO)

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

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About NPI 1730424466

Thea Ann Scoggan, CAC III's National Provider Identifier is 1730424466, issued on Dec 6, 2012. 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 May 17, 2018.