Organization · Type 2 NPI

Quileute Counseling and Recovery Substance Use Disorder

Addiction (Substance Use Disorder) Counselor · Forks, WA

NPI number 1861950859 Active

Practice location

579 Hermison Rd
Forks, WA 98331

Call (360) 374-9035 Map

Fax (360) 374-5448

Mailing address

PO Box 189
La Push, WA 98350-0189

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor Primary	101YA0400X	None listed

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

NPI record

NPI: 1861950859
Entity type: Organization (Type 2)
Issued: Mar 8, 2019
Last updated: Jun 10, 2026
Status: Active
Subpart: Yes of Quileute Tribal Council

Other names

Quileute Counseling and Recovery Substance Use Disorder · doing business as

Authorized official

Gary Bryan Goodwin
Billing Agency
(360) 867-0709

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About NPI 1861950859

Quileute Counseling and Recovery Substance Use Disorder's National Provider Identifier is 1861950859, issued on Mar 8, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Forks, WA. The record was last updated on Jun 10, 2026.