person
Doug Nishimura, CDPT
Addiction (Substance Use Disorder) Counselor in Bothell, Washington
NPI 1770015224

Doug Nishimura is an Addiction (Substance Use Disorder) Counselor based in Bothell, WA and is specialized in Addiction (Substance Use Disorder). Doug Nishimura practices in Bothell, WA and has the professional credentials of CDPT. The NPI Number for Doug Nishimura is 1770015224 and holds a License No. CO60586723 (Washington).

The current practice location address for Doug Nishimura is 22026 20Th Ave Se Ste 101, Bothell, WA and can be reached out via phone at 425-672-7293. You can also correspond with Doug Nishimura through the mailing address at 22026 20TH AVE SE STE 101, BOTHELL, WA - 98021-4449 (mailing address contact number: ).

Location: 22026 20Th Ave Se Ste 101, Bothell, WA, 98021-4449
person
Provider Profile Details
NPI Number
1770015224
Provider Name
Doug Nishimura
Credential
CDPT
Provider Entity Type
Individual
Gender
Male
Address
22026 20Th Ave Se Ste 101, Bothell, WA, 98021-4449
Phone Number
425-672-7293
Fax Number
Provider Enumeration Date
04/03/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101XA0400X 05 WA
institution
Provider Business Practice Location Address Details
Address
22026 20Th Ave Se Ste 101
City
State
Zip
98021-4449
Phone Number
425-672-7293
Fax Number
person
Provider Business Mailing Address Details
Address
22026 20Th Ave Se Ste 101
City
State
Zip
98021-4449
Phone Number
425-672-7293
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CO60586723 (Washington)
Definition
Definition to come...
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