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Evergreen Manor - Summit Opt
Substance Use Disorder Rehabilitation Clinic/Center in Everett, Washington
NPI 1649453960

Evergreen Manor - Summit Opt is a Substance Use Disorder Rehabilitation Clinic/Center based in Everett, WA and is specialized in Rehabilitation, Substance Use Disorder. Evergreen Manor - Summit Opt practices in Everett, WA. The NPI Number for Evergreen Manor - Summit Opt is 1649453960 and holds a License No. 263 (Washington).

The current practice location address for Evergreen Manor - Summit Opt is 2601 Summit Ave, Everett, WA and can be reached out via phone at 425-258-2407 and via fax at 425-339-2601.

Location: 2601 Summit Ave, Everett, WA, 98206-2598
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649453960
Provider Name
Evergreen Manor - Summit Opt
Credential
Provider Entity Type
Organization
Address
2601 Summit Ave, Everett, WA, 98206-2598
Phone Number
425-258-2407
Fax Number
425-339-2601
Provider Enumeration Date
12/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1995620 05 WA
institution
Provider Business Practice Location Address Details
Address
2601 Summit Ave
City
Everett
State
Washington
Zip
98201-3309
Phone Number
425-258-2407
Fax Number
425-339-2601
person
Provider Business Mailing Address Details
Address
2601 Summit Ave
City
Everett
State
Washington
Zip
98201-3309
Phone Number
425-258-2407
Fax Number
425-339-2601
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
31-0108-03 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
263 (Washington)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
263 (Washington)
Definition
Definition to come...
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