Peter August Joseph
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Everson, WA
NPI 1497988679 · NPPES record last updated Sep 3, 2009
Key facts
- NPI
- 1497988679
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CP 00001117 (WA)
- Practice address
- 6750 Mission Rd
Everson, WA 98247-9749 - Phone
- (360) 966-7704
- Fax
- (360) 966-4225
- NPI assigned
- Sep 3, 2009
- Sex
- Male
- 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 |
|---|---|---|---|
| CP 00001117 | WA | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CP 00001117 | WA | Yes |
Addresses
Primary practice location
6750 Mission Rd
Everson, WA 98247-9749
Mailing address
PO Box 157
Deming, WA 98244-0157
Phone (360) 966-7704
Other providers in Everson, WA
- Melissa Hildebrand
- Patti Hoelzle
- Madison B Holup
- Makenna Lanie Holz
- Alex Ilyin
- Meagan Kammenga
- Ceylon Rose Keeslar
- Gwen Kempe
- Aamer A. Khan
- Jennifer Beth Kier I
All providers in Everson, 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 Sep 3, 2009. 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.