| Nooksack Tribes Genesis Ii | |
|
6750 Mission Rd Everson WA 98247-9749 | |
| (360) 966-7704 | |
| (360) 966-4225 |
| Full Name | Nooksack Tribes Genesis Ii |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 6750 Mission Rd, Everson, Washington |
| Authorized Official Name and Position | William W. Woolsey (TREATMENT DIRECTOR) |
| Authorized Official Contact | 3609667704 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nooksack Tribes Genesis Ii 6750 Mission Rd Everson WA 98247-9749 Ph: (360) 966-7704 | Nooksack Tribes Genesis Ii 6750 Mission Rd Everson WA 98247-9749 Ph: (360) 966-7704 |
| NPI Number | 1699975466 |
|---|---|
| Provider Enumeration Date | 07/20/2007 |
| Last Update Date | 07/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699975466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 020300 (Washington) | Primary |
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