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Mr. Benjamin Theodore Descoteaux, MED
Counselor in Omak, Washington
NPI 1255440376

Benjamin Theodore Descoteaux is a Counselor based in Omak, WA. Benjamin Theodore Descoteaux practices in Omak, WA and has the professional credentials of MED. The NPI Number for Benjamin Theodore Descoteaux is 1255440376 and holds a License No. LH00009254 (Washington).

The current practice location address for Benjamin Theodore Descoteaux is 1007 Koala Ave, Omak, WA and can be reached out via phone at 509-826-6191 and via fax at 509-826-8560.

Location: 1007 Koala Ave, Omak, WA, 98841-9247
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255440376
Provider Name
Benjamin Theodore Descoteaux
Credential
MED
Provider Entity Type
Individual
Gender
Male
Address
1007 Koala Ave, Omak, WA, 98841-9247
Phone Number
509-826-6191
Fax Number
509-826-8560
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1980812 05 WA
institution
Provider Business Practice Location Address Details
Address
1007 Koala Ave
City
Omak
State
Washington
Zip
98841-9247
Phone Number
509-826-6191
Fax Number
509-826-8560
person
Provider Business Mailing Address Details
Address
1007 Koala Ave
City
Omak
State
Washington
Zip
98841-9247
Phone Number
509-826-6191
Fax Number
509-826-8560
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
RC00030840 (Washington)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CP00001300 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LH00009254 (Washington)
Definition
Definition to come...
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