David Richard Baldwin, CP00006153 | |
230 East State Street, Mossyrock, WA 98564 | |
(360) 983-3257 | |
Not Available |
Full Name | David Richard Baldwin |
---|---|
Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 230 East State Street, Mossyrock, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154830362 | NPI | - | NPPES |
1991983 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | CP00006153 (Washington) | Primary |
Mailing Address | Practice Location Address |
---|---|
David Richard Baldwin, CP00006153 P.o Box 67, East State Street, Mossyrock, WA 98564 Ph: (360) 983-3227 | David Richard Baldwin, CP00006153 230 East State Street, Mossyrock, WA 98564 Ph: (360) 983-3257 |
Amanda Louise Black, SUDPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 E State St, Mossyrock, WA 98564 Phone: 360-266-5585 Fax: 360-262-6620 | |
Mr. Jack Otto Lehmann, Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 E State St, Mossyrock, WA 98564 Phone: 360-983-3227 Fax: 360-983-3289 |