Nooksack Central Management System
NPI #1487869095 in Everson, Washington
Provider Information
- NPI Number
- 1487869095
- Entity Type
- Organization
- Organization Name
- Nooksack Central Management System
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- May 14, 2007
- Last Updated
- Sep 9, 2011
Practice Location
- Address
- 6750 MISSION RD
- City
- Everson
- State
- Washington
- ZIP Code
- 98247-9749
- Phone
- (360) 966-7704
Authorized Official
- Name
- ERIC R DAVENPORT
- Title
- GOVERNMENT SERVICE EXEC
- Phone
- (360) 952-5176
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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