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9500 Front St Ste 100 Lakewood WA 98499-9415 | |
(253) 584-3996 | |
(253) 589-1071 |
Full Name | |
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Speciality | Clinic/center - Methadone |
Location | 9500 Front St, Lakewood, Washington |
Authorized Official Name and Position | Brian Phillip Farley (VP & SECRETARY) |
Authorized Official Contact | 6158616000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6183 Paseo Del Norte Suite 200 Carlsbad CA 92011-1155 Ph: (855) 259-2288 | 9500 Front St Ste 100 Lakewood WA 98499-9415 Ph: (253) 584-3996 |
NPI Number | 1811039027 |
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Provider Enumeration Date | 02/13/2007 |
Last Update Date | 10/24/2024 |
Certification Date | 10/24/2024 |
Identifier | Type | State | Issuer |
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1811039027 | 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 | |