Lori W Bobo, CDP
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Pullman, WA
NPI 1144314964 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1144314964
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CP00005946 (WA)
- Practice address
- 340 NE Maple St
Pullman, WA 99163-4120 - Phone
- (509) 334-1133
- Fax
- (509) 332-1608
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- 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 |
|---|---|---|---|
| CP00005946 | WA | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CP00005946 | WA | Yes |
Addresses
Primary practice location
340 NE Maple St
Pullman, WA 99163-4120
Mailing address
340 NE Maple St
Pullman, WA 99163-4120
Phone (509) 334-1133
Other providers in Pullman, WA
- Logan Blair
- Deborah Blazzard
- Todd B Bledsoe
- Kevin Blume
- Caitlyn Louise Blumenshein
- Anikka Boggess
- Danielle Michelle Bonner
- Stephanie L Boone
- Boost Collaborative
- Michelle A Bower
All providers in Pullman, 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 Jul 8, 2007. 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.