person
David Richard Baldwin, CP00006153
Addiction (Substance Use Disorder) Counselor in Mossyrock, Washington
NPI 1154830362

David Richard Baldwin is an Addiction (Substance Use Disorder) Counselor based in Mossyrock, WA and is specialized in Addiction (Substance Use Disorder). David Richard Baldwin practices in Mossyrock, WA and has the professional credentials of CP00006153. The NPI Number for David Richard Baldwin is 1154830362 and holds a License No. CP00006153 (Washington).

The current practice location address for David Richard Baldwin is 230 East State Street, Mossyrock, WA and can be reached out via phone at 360-983-3257.

Location: 230 East State Street, Mossyrock, WA, 98564
person
Provider Profile Details
NPI Number
1154830362
Provider Name
David Richard Baldwin
Credential
CP00006153
Provider Entity Type
Individual
Gender
Male
Address
230 East State Street, Mossyrock, WA, 98564
Phone Number
360-983-3257
Fax Number
Provider Enumeration Date
09/20/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1991983 05 WA
institution
Provider Business Practice Location Address Details
Address
230 East State Street
City
State
Zip
98564
Phone Number
360-983-3257
Fax Number
person
Provider Business Mailing Address Details
Address
230 East State Street
City
State
Zip
98564
Phone Number
360-983-3257
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CP00006153 (Washington)
Definition
Definition to come...
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