person
Michelle Buckholz, SUDP
Addiction (Substance Use Disorder) Counselor in Kelso, Washington
NPI 1215323977

Michelle Buckholz is an Addiction (Substance Use Disorder) Counselor based in Longview, WA and is specialized in Addiction (Substance Use Disorder). Michelle Buckholz practices in Kelso, WA and has the professional credentials of SUDP. The NPI Number for Michelle Buckholz is 1215323977 and holds a License No. CP60551022 (Washington).

The current practice location address for Michelle Buckholz is 621 Grade St, Kelso, WA and can be reached out via phone at 360-425-9210.

Location: 621 Grade St, Kelso, WA, 98632-2509
person
Provider Profile Details
NPI Number
1215323977
Provider Name
Michelle Buckholz
Credential
SUDP
Provider Entity Type
Individual
Gender
Female
Address
621 Grade St, Kelso, WA, 98632-2509
Phone Number
360-425-9210
Fax Number
Provider Enumeration Date
04/09/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2088085 05 WA
institution
Provider Business Practice Location Address Details
Address
621 Grade St
City
State
Zip
98626-2606
Phone Number
360-425-9210
Fax Number
person
Provider Business Mailing Address Details
Address
621 Grade St
City
State
Zip
98626-2606
Phone Number
360-425-9210
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CP60551022 (Washington)
Definition
Definition to come...
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