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Peter Kirkland SR., CP00005495
Addiction (Substance Use Disorder) Counselor in Spanaway, Washington
NPI 1497230361

Peter Kirkland SR. is an Addiction (Substance Use Disorder) Counselor based in Edgewood, WA and is specialized in Addiction (Substance Use Disorder). Peter Kirkland SR. practices in Spanaway, WA and has the professional credentials of CP00005495. The NPI Number for Peter Kirkland SR. is 1497230361 and holds a License No. CP0005495 (Washington).

The current practice location address for Peter Kirkland SR. is 17002 Pacific Ave S, Spanaway, WA and can be reached out via phone at 253-538-2323.

Location: 17002 Pacific Ave S, Spanaway, WA, 98372-9278
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497230361
Provider Name
Peter Kirkland SR.
Credential
CP00005495
Provider Entity Type
Individual
Gender
Male
Address
17002 Pacific Ave S, Spanaway, WA, 98372-9278
Phone Number
253-538-2323
Fax Number
Provider Enumeration Date
09/26/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17002 Pacific Ave S
City
Spanaway
State
Washington
Zip
98387-8253
Phone Number
253-538-2323
Fax Number
person
Provider Business Mailing Address Details
Address
17002 Pacific Ave S
City
Spanaway
State
Washington
Zip
98387-8253
Phone Number
253-538-2323
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CP0005495 (Washington)
Definition
Definition to come...
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