Individual provider · Type 1 NPI

Sage Beach, SUDPT

Addiction (Substance Use Disorder) Counselor · Vancouver, WA

NPI number 1750078002 Active

Practice location

1601 E Fourth Plain Blvd Bldg 17
Vancouver, WA 98661-3717

Call (360) 397-8246 Map

Mailing address

812 SE 136th Ave Unit G66
Vancouver, WA 98683-6982

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X61428672 (WA)

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

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About NPI 1750078002

Sage Beach, SUDPT's National Provider Identifier is 1750078002, issued on Apr 18, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Vancouver, WA. The record was last updated on Apr 18, 2023.