Swinomish Indian Tribal Community
Organization Active NPI Addiction (Substance Use Disorder) Counselor · La Conner, WA
NPI 1235689381 · NPPES record last updated Oct 12, 2016
Key facts
- NPI
- 1235689381
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CO60166467 (WA)
- Legal business name
- SWINOMISH INDIAN TRIBAL COMMUNITY
- Practice address
- 17337 Reservation Rd
La Conner, WA 98257-8802 - Phone
- (360) 466-1024
- Fax
- (360) 466-7634
- NPI assigned
- Oct 12, 2016
- Organization subpart
- No
Authorized official
- Name
- Jennifer Martin
- Title
- Biller
- Phone
- (360) 588-2735
Corporate family (same tax ID) 9
National Provider Directory
- Tax ID family
- Swishomish Indian Healt
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | CO60166467 | WA | Yes |
Addresses
Primary practice location
17337 Reservation Rd
La Conner, WA 98257-8802
Mailing address
17337 Reservation Rd
La Conner, WA 98257-8802
Phone (360) 466-1024
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CP60166467 | Other | WA | WASHINGTON STATE |
Other names
- Swinomish Wellness Program
Other providers in La Conner, WA
- Sharon A Sullivan
- Swinomish Health Clinic
- Swinomish Health Clinic
- Swinomish Health Clinic
- Swinomish Indian Tribal Community
- Swinomish Indian Tribal Community
- Swinomish Indian Tribal Community
- Swinomish Tribal Mental Health Program
- Swinomish Upper Skagit Dental
- Swinomish/Upper Skagit Dental Clinic
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 Oct 12, 2016. 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.