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1155 N State St Bellingham WA 98225-5037 | |
| (360) 676-4485 | |
| (360) 714-1294 |
| Full Name | |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1155 N State St, Bellingham, Washington |
| Authorized Official Name and Position | Kelly Frost (PRESIDENT) |
| Authorized Official Contact | 3606764485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1155 N State St Bellingham WA 98225-5037 Ph: (360) 676-4485 | 1155 N State St Bellingham WA 98225-5037 Ph: (360) 676-4485 |
| NPI Number | 1124329669 |
|---|---|
| Provider Enumeration Date | 11/16/2010 |
| Last Update Date | 01/07/2025 |
| Certification Date | 01/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124329669 | NPI | - | NPPES |
| 2200984 | Medicaid | WA |
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