Tri-Star Behavioral Health
Counselor, Addiction (Substance Use Disorder) in Clarkston, WA. Organization (NPI-2).
NPI number1982240875
StatusActive
Last updated in NPPESNov 26, 2019
Details
- NPI
- 1982240875
- Entity type
- Organization (NPI-2)
- Legal business name
- Tri-Star Behavioral Health
- Organization subpart
- No
- Enumeration date
- Nov 26, 2019
- Last updated
- Nov 26, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
302 5th St Ste 2Clarkston, WA 99403-1801
Phone 509-780-3081
Mailing address
302 5th St Ste 2Clarkston, WA 99403-1801
Phone 509-780-3081
Authorized official
Loren Raymond Caudle
Director
5097803081
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