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Providence Health & Service Washington
Addiction (Substance Use Disorder) Psychologist in Longview, Washington
NPI 1245438738

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 Longview, WA. The NPI Number for Providence Health & Service Washington is 1245438738 and holds a License No. (Washington).

The current practice location address for Providence Health & Service Washington is 1322 Commerce Ave, Longview, WA and can be reached out via phone at 360-414-8771 and via fax at 360-414-8776. You can also correspond with Providence Health & Service Washington through the mailing address at PO BOX 34439, SEATTLE, WA - 98124-1439 (mailing address contact number: 425-525-6778).

Location: 1322 Commerce Ave, Longview, WA, 98124-1439
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245438738
Provider Name
Providence Health & Service Washington
Credential
Provider Entity Type
Organization
Address
1322 Commerce Ave, Longview, WA, 98124-1439
Phone Number
360-414-8771
Fax Number
360-414-8776
Provider Enumeration Date
07/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
08 0983 00 05 WA
631762 01 WA LONGVIEW BUSINESS LICENSE
602 399 531 01 WA UBI MASTER LICENSE
institution
Provider Business Practice Location Address Details
Address
1322 Commerce Ave
City
Longview
State
Washington
Zip
98632-3718
Phone Number
360-414-8771
Fax Number
360-414-8776
person
Provider Business Mailing Address Details
Address
1322 Commerce Ave
City
Longview
State
Washington
Zip
98632-3718
Phone Number
360-414-8771
Fax Number
360-414-8776
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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