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Peter Paul Lack
Addiction (Substance Use Disorder) Psychologist in Port Townsend, Washington
NPI 1033529987

Peter Paul Lack is an Addiction (Substance Use Disorder) Psychologist based in Port Townsend, WA and is specialized in Addiction (Substance Use Disorder). Peter Paul Lack practices in Port Townsend, WA. The NPI Number for Peter Paul Lack is 1033529987 and holds a License No. CP00006346 (Washington).

The current practice location address for Peter Paul Lack is 3804 Hastings Ave W, Port Townsend, WA and can be reached out via phone at 360-385-5505 and via fax at 360-385-3605.

Location: 3804 Hastings Ave W, Port Townsend, WA, 98368-0102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033529987
Provider Name
Peter Paul Lack
Credential
Provider Entity Type
Individual
Gender
Male
Address
3804 Hastings Ave W, Port Townsend, WA, 98368-0102
Phone Number
360-385-5505
Fax Number
360-385-3605
Provider Enumeration Date
04/30/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3804 Hastings Ave W
City
Port Townsend
State
Washington
Zip
98368-9642
Phone Number
360-385-5505
Fax Number
360-385-3605
person
Provider Business Mailing Address Details
Address
3804 Hastings Ave W
City
Port Townsend
State
Washington
Zip
98368-9642
Phone Number
360-385-5505
Fax Number
360-385-3605
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Addiction (Substance Use Disorder)
Taxonomy
103TA0400X
License No.
CP00006346 (Washington)
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
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