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Providence Health & Service Washington
Addiction (Substance Use Disorder) Psychologist in Morton, Washington
NPI 1104024348

Providence Health & Service Washington is an Addiction (Substance Use Disorder) Psychologist based in Seattle, WA and is specialized in Addiction (Substance Use Disorder). Providence Health & Service Washington practices in Morton, WA. The NPI Number for Providence Health & Service Washington is 1104024348 and holds a License No. (Washington).

The current practice location address for Providence Health & Service Washington is 218-A Main Street, Morton, WA and can be reached out via phone at 360-496-6216 and via fax at 360-496-6232.

Location: 218-A Main Street, Morton, WA, 98124-1439
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104024348
Provider Name
Providence Health & Service Washington
Credential
Provider Entity Type
Organization
Address
218-A Main Street, Morton, WA, 98124-1439
Phone Number
360-496-6216
Fax Number
360-496-6232
Provider Enumeration Date
07/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
602 399 531 01 WA UBI MASTER LICENSE
1250 01 WA BUSINESS LICENSE
institution
Provider Business Practice Location Address Details
Address
218-A Main Street
City
Morton
State
Washington
Zip
98356-0000
Phone Number
360-496-6216
Fax Number
360-496-6232
person
Provider Business Mailing Address Details
Address
218-A Main Street
City
Morton
State
Washington
Zip
98356-0000
Phone Number
360-496-6216
Fax Number
360-496-6232
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Addiction (Substance Use Disorder)
Taxonomy
103TA0400X
License No.
()
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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