Innovation Resource Center

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP00006228 Issued in WA

Legal business name

INNOVATION RESOURCE CENTER

Practice address

214 S 6TH St
Unit #3
Sunnyside, WA 98944-1446

Phone

(509) 836-2400

Fax

(509) 836-2400

NPI assigned

Apr 5, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Marie Elena Guerrer, MSW, NCACI, SAP, CDP

Title

Clinical Director

Phone

(509) 836-2400

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1336405141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 953",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989440953",
            "telephone_number": "509-836-2400",
            "fax_number": "509-836-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 S 6TH ST",
            "address_2": "UNIT #3",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989441446",
            "telephone_number": "509-836-2400",
            "fax_number": "509-836-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATION RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-05",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "GUERRER",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "ELENA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "509-836-2400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, NCACI, SAP, CDP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00006228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Kenneth Hunt
• Olivia Hutchinson, RD
• Tarah Ingram, OTR
• Katelyn Inions
• Mahakit Inklab, MD
• Becky Sue Isley, COTA/L
• Ashley Jackson, LMP
• Jared H Condie DMD Ms
• Kelly Ann Jensen, ARNP
• Beatriz Jimenez, RN

• Addiction (Substance Use Disorder) Counselor in Sunnyside, WA
• Providers in Sunnyside, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.