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10209 Bridgeport Way Sw Suite D-10 Lakewood WA 98499 | |
(253) 627-1226 | |
(253) 572-8262 |
Full Name | |
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Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 10209 Bridgeport Way Sw, Lakewood, Washington |
Authorized Official Name and Position | Gustavus L Lawlar (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 2536271226 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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10209 Bridgeport Way Sw Suite D-10 Lakewood WA 98499 Ph: (253) 627-1226 | 10209 Bridgeport Way Sw Suite D-10 Lakewood WA 98499 Ph: (253) 627-1226 |
NPI Number | 1558574202 |
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Provider Enumeration Date | 05/08/2007 |
Last Update Date | 11/11/2010 |
Identifier | Type | State | Issuer |
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1558574202 | NPI | - | NPPES |
Paul Kenneth Henry Med Lmhc Ps Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9101 Bridgeport Way Sw Ste D2, Lakewood, WA 98499 Phone: 253-394-6045 | |
Lakewood Wellness Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10310 Gravelly Lake Dr Sw Ste B, Lakewood, WA 98499 Phone: 253-888-3405 | |