person
Mr. Brent William Michaud
Addiction (Substance Use Disorder) Counselor in Centralia, Washington
NPI 1598286791

Brent William Michaud is an Addiction (Substance Use Disorder) Counselor based in Longview, WA and is specialized in Addiction (Substance Use Disorder). Brent William Michaud practices in Centralia, WA. The NPI Number for Brent William Michaud is 1598286791 and holds a License No. CP60944835 (Washington).

The current practice location address for Brent William Michaud is 1616 S. Gold St. #4, Centralia, WA and can be reached out via phone at 360-807-4929 and via fax at 360-807-4160.

Location: 1616 S. Gold St. #4, Centralia, WA, 98632
person
Provider Profile Details
NPI Number
1598286791
Provider Name
Brent William Michaud
Credential
Provider Entity Type
Individual
Gender
Male
Address
1616 S. Gold St. #4, Centralia, WA, 98632
Phone Number
360-807-4929
Fax Number
360-807-4160
Provider Enumeration Date
06/28/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2130057 05 WA
institution
Provider Business Practice Location Address Details
Address
1616 S. Gold St. #4
City
State
Zip
98531-0001
Phone Number
360-807-4929
Fax Number
360-807-4160
person
Provider Business Mailing Address Details
Address
1616 S. Gold St. #4
City
State
Zip
98531-0001
Phone Number
360-807-4929
Fax Number
360-807-4160
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CP60944835 (Washington)
Definition
Definition to come...
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