Tony A Harrington, SUDPT
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Connell, WA
NPI 1013530625 · NPPES record last updated May 19, 2020
Key facts
- NPI
- 1013530625
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CO60558879 (WA)
- Practice address
- 1301 N Ephrata Ave
Connell, WA 99326-9601 - Phone
- (509) 543-5800
- NPI assigned
- May 19, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| CO60558879 | WA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington State Department of Corrections Coyote Ridge Corrections Ce | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CO60558879 | WA | Yes |
Addresses
Primary practice location
1301 N Ephrata Ave
Connell, WA 99326-9601
Mailing address
1301 N Ephrata Ave
Connell, WA 99326-9601
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2077844 | Medicaid | WA |
Other providers in Connell, WA
- Jessica Lynn Forsyth
- Linda Gimmeson
- Gwyn Renee Gregg
- Dora G Gutierrez
- Timothy Michael Hall
- Chelsie Anne Henden
- Helen Elizabeth Jack
- Jaeniffer Ang Kaiser
- Shelbie Louise Karl
- Kimberly Elaine Kennedy
All providers in Connell, 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 May 19, 2020. 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.