New Life Addiction And Recovery Services Pllc | |
5019 Grove St # 103a Marysville WA 98270-4487 | |
(206) 407-3333 | |
(360) 768-2817 |
Full Name | New Life Addiction And Recovery Services Pllc |
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Speciality | Counselor - Mental Health |
Location | 5019 Grove St # 103a, Marysville, Washington |
Authorized Official Name and Position | Diane Buford (COUNSELOR) |
Authorized Official Contact | 2064073333 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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New Life Addiction And Recovery Services Pllc 5019 Grove St # 103a Marysville WA 98270-4487 Ph: (206) 407-3333 | New Life Addiction And Recovery Services Pllc 5019 Grove St # 103a Marysville WA 98270-4487 Ph: (206) 407-3333 |
NPI Number | 1326411869 |
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Provider Enumeration Date | 11/05/2015 |
Last Update Date | 11/16/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326411869 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | CP00001646 (Washington) | Secondary |
101YM0800X | Counselor - Mental Health | MC60502604 (Washington) | Primary |
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