Providence Health & Service Washington, NPI 1124226360
Addiction (Substance Use Disorder) Psychologist in Centralia, WA, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1124226360 |
| NPI Entity Type | Organization |
| Provider Name |
Providence Health & Service Washington
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 1800 Cooks Hill Rd, Suite G, Centralia, WA, US |
| Provider Mailing Address | Po Box 34439, Seattle, WA, US, 981241439 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Nicole Quinn |
| Official Position | PAYOR CREDENTIALING MANAGER |
| Phone | 425-525-6715 |
Group Taxonomy
| Taxonomy Code | 193200000X |
| Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Addiction (Substance Use Disorder) Psychologist |
| Classification | |
| Group | |
| License State | WA |
| Description | A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 15835 | WA | CITY OF CHEHALIS BUSINESS | 01 |
| 602 399 531 | WA | UBI MASTER LICENSE | 01 |
| 21 0354 00 | WA | CERT OF APPROVAL CHEM DEP | 05 |
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|---|---|---|---|
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PHARM.D. Daniel D Kim Individual |
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MD Srinivas Murthy Mascal Gangadharaiah Individual |
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Cynthia Huynh-wu Individual |
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MISS RN Cicely P Locks Individual |
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DR. LMHC, LPC, SUDP Steven Kyle Cardwell Individual |
110 Prefontaine Pl S |
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Megan Lee Individual |
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MD Keith M. D'souza Individual |
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Ryan Schwanke Individual |
4520 42nd Ave Sw Ste 34 |
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AAC Carmen Milagros Esquilin-cordero Individual |
25028 104th Ave Se |
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Nathan Sim Individual |
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3919 N Maple St |
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MSW, AAC, CLIN2 Megan Fiona Cushing Individual |
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MASSAGE THERAPIST Maya Ray-schoenfeld Individual |
3417 Evanston Ave N Ste 321 |
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DNP, ARNP, FNP-C Janelle Schwittay Individual |
916 S 3rd St |
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Mikaela Costales Individual |
27023 164th Ave Se |
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DR. OD Andy C Lai Individual |
4325 University Way Ne |
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LMHC, MHP, NCC Jonathan Clarke Goodman Individual |
1002 39th Ave Sw Ste 208 |
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BA Mimi Mi Kim Individual |
2802 Broadway |
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Michaela Mae Bassuer Individual |
Student in an Organized Health Care Education/Training Program |
505 N Argonne Rd Ste B206 |
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