person
Mr. Mitchell Andrew Cueba JR., CO61037829
Addiction (Substance Use Disorder) Counselor in Toppenish, Washington
NPI 1497382782

Mitchell Andrew Cueba JR. is an Addiction (Substance Use Disorder) Counselor based in Buena, WA and is specialized in Addiction (Substance Use Disorder). Mitchell Andrew Cueba JR. practices in Toppenish, WA and has the professional credentials of CO61037829. The NPI Number for Mitchell Andrew Cueba JR. is 1497382782 and holds a License No. CO61037829 (Washington).

The current practice location address for Mitchell Andrew Cueba JR. is 20 Gunnyon Rd., Toppenish, WA and can be reached out via phone at 509-865-5121 and via fax at 509-865-4333.

Location: 20 Gunnyon Rd., Toppenish, WA, 98921-0139
person
Provider Profile Details
NPI Number
1497382782
Provider Name
Mitchell Andrew Cueba JR.
Credential
CO61037829
Provider Entity Type
Individual
Gender
Male
Address
20 Gunnyon Rd., Toppenish, WA, 98921-0139
Phone Number
509-865-5121
Fax Number
509-865-4333
Provider Enumeration Date
03/25/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
91-0755984 05 WA
institution
Provider Business Practice Location Address Details
Address
20 Gunnyon Rd.
City
State
Zip
98948-9894
Phone Number
509-865-5121
Fax Number
509-865-4333
person
Provider Business Mailing Address Details
Address
20 Gunnyon Rd.
City
State
Zip
98948-9894
Phone Number
509-865-5121
Fax Number
509-865-4333
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CO61037829 (Washington)
Definition
Definition to come...
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