| Tri-star Behavioral Health | |
|
302 5th St Ste 2 Clarkston WA 99403-1801 | |
| (509) 780-3081 | |
| Not Available |
| Full Name | Tri-star Behavioral Health |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 302 5th St Ste 2, Clarkston, Washington |
| Authorized Official Name and Position | Loren Raymond Caudle (DIRECTOR) |
| Authorized Official Contact | 5097803081 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-star Behavioral Health 302 5th St Ste 2 Clarkston WA 99403-1801 Ph: (509) 780-3081 | Tri-star Behavioral Health 302 5th St Ste 2 Clarkston WA 99403-1801 Ph: (509) 780-3081 |
| NPI Number | 1982240875 |
|---|---|
| Provider Enumeration Date | 11/26/2019 |
| Last Update Date | 11/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982240875 | NPI | - | NPPES |
| 1972943090 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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