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Chad Eric Holmes, CO60709269
Addiction (Substance Use Disorder) Counselor in Centralia, Washington
NPI 1831629476

Chad Eric Holmes is an Addiction (Substance Use Disorder) Counselor based in Longview, WA and is specialized in Addiction (Substance Use Disorder). Chad Eric Holmes practices in Centralia, WA and has the professional credentials of CO60709269. The NPI Number for Chad Eric Holmes is 1831629476 and holds a License No. CO60709269 (Washington).

The current practice location address for Chad Eric Holmes 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
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831629476
Provider Name
Chad Eric Holmes
Credential
CO60709269
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
06/15/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2133639 05 WA
1991983 05 WA
institution
Provider Business Practice Location Address Details
Address
1616 S. Gold St. #4
City
Centralia
State
Washington
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
Centralia
State
Washington
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
101YA0400X
License No.
CO60709269 (Washington)
Definition
Definition to come...
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