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Providence Health & Service Washington
Addiction (Substance Use Disorder) Psychologist in Centralia, Washington
NPI 1124226360

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 Centralia, WA. The NPI Number for Providence Health & Service Washington is 1124226360 and holds a License No. (Washington).

The current practice location address for Providence Health & Service Washington is 1800 Cooks Hill Rd, Centralia, WA and can be reached out via phone at 360-827-8200 and via fax at 360-827-8367.

Location: 1800 Cooks Hill Rd, Centralia, WA, 98124-1439
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124226360
Provider Name
Providence Health & Service Washington
Credential
Provider Entity Type
Organization
Address
1800 Cooks Hill Rd, Centralia, WA, 98124-1439
Phone Number
360-827-8200
Fax Number
360-827-8367
Provider Enumeration Date
07/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
15835 01 WA CITY OF CHEHALIS BUSINESS
602 399 531 01 WA UBI MASTER LICENSE
21 0354 00 05 WA CERT OF APPROVAL CHEM DEP
institution
Provider Business Practice Location Address Details
Address
1800 Cooks Hill Rd
City
Centralia
State
Washington
Zip
98531-9072
Phone Number
360-827-8200
Fax Number
360-827-8367
person
Provider Business Mailing Address Details
Address
1800 Cooks Hill Rd
City
Centralia
State
Washington
Zip
98531-9072
Phone Number
360-827-8200
Fax Number
360-827-8367
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Addiction (Substance Use Disorder)
Taxonomy
103TA0400X
License No.
(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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