| Awakenings, Inc | |
|
404 W Main St Kelso WA 98626-1118 | |
| (360) 423-2806 | |
| Not Available |
| Full Name | Awakenings, Inc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 404 W Main St, Kelso, Washington |
| Authorized Official Name and Position | Kristine Reto (BILLING) |
| Authorized Official Contact | 3604232806 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Awakenings, Inc 404 W Main St Kelso WA 98626-1118 Ph: (360) 423-2806 | Awakenings, Inc 404 W Main St Kelso WA 98626-1118 Ph: (360) 423-2806 |
| NPI Number | 1275245722 |
|---|---|
| Provider Enumeration Date | 12/15/2022 |
| Last Update Date | 12/15/2022 |
| Certification Date | 12/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275245722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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