Steven Bruce Gooding, CDP
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · La Conner, WA
NPI 1013363886 · NPPES record last updated Jan 11, 2018
Key facts
- NPI
- 1013363886
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CP60617801 (WA)
- Practice address
- 17400 Reservation Rd.
La Conner, WA 98257 - Phone
- (360) 588-2730
- Fax
- (360) 848-5250
- NPI assigned
- May 10, 2016
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP60617801 | WA | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CP60617801 | WA | Yes |
Addresses
Primary practice location
17400 Reservation Rd.
La Conner, WA 98257
Mailing address
PO Box 683
Swinomish Indian Tribal Community Chemical Dependency
La Conner, WA 98257
Phone (360) 848-8437
Other providers in La Conner, WA
- Teodora Louise Rapp Foster
- Jacqueline Franco
- Kelvin R Giles
- Jennifer Lynne Gilland
- Asiah Jeanmarie Gonzalez
- Alexis Govan
- Patricia J Harlan
- Marianne Haworth
- Teylor Hendricks
- Rachael R Hogan
All providers in La Conner, WA · Addiction (Substance Use Disorder) Counselor in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.