Chris Holmes, MS
Individual provider Active NPI Counselor · Cathlamet, WA
NPI 1497971998 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1497971998
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- RC00013013 (WA)
- Practice address
- 42 Elochoman Valley Rd
Cathlamet, WA 98612-9602 - Phone
- (360) 795-8630
- Fax
- (360) 795-6224
- NPI assigned
- Apr 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RC00013013 | WA | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | RC00013013 | WA | Yes |
Addresses
Primary practice location
42 Elochoman Valley Rd
Cathlamet, WA 98612-9602
Mailing address
42 Elochoman Valley Rd
Cathlamet, WA 98612-9602
Phone (360) 795-8630
Other providers in Cathlamet, WA
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.