Cheryl Lynn Alcaraz, CO 60454091

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Chehalis, WA

NPI 1255848933 · NPPES record last updated Jun 14, 2022

Key facts

NPI
1255848933
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
CO60454091 (WA)
Practice address
500 SE Washington Ave
Chehalis, WA 98532-3058
Phone
(360) 740-2556
NPI assigned
Jan 4, 2018
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

LicenseStateTypeSpecialty
CO60454091WAMDAddiction (Substance Use Disorder) Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CO60454091 WA Yes

Addresses

Primary practice location

500 SE Washington Ave
Chehalis, WA 98532-3058

Mailing address

500 SE Washington Ave
Chehalis, WA 98532-3058
Phone (360) 740-2556

Other practice location 1

920 Fir St
Longview, WA 98632-2525
Phone (360) 270-0408

Other providers in Chehalis, WA

All providers in Chehalis, WA · Addiction (Substance Use Disorder) Counselor in Washington

Sources for this page

Verify at the official NPI Registry.