# SKOKOMISH TRIBAL COUNCIL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SKOKOMISH TRIBAL COUNCIL
- **Other names:** SKOKOMISH DEPARTMENT OF SOCIAL SERVICES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1396056461
- **Legal business name:** SKOKOMISH TRIBAL COUNCIL
- **Authorized official:** FRANCES L LONGSHORE (BUSINESS OFFICE MANAGER)
- **Authorized official phone:** (360) 426-5755

## Contact information

- **Practice address:** 561 N TRIBAL CENTER RD, SKOKOMISH NATION, WA 98584-7416
- **Practice address phone:** (360) 426-5755
- **Practice address fax:** (360) 402-0082
- **Mailing address:** 561 N TRIBAL CENTER ROAD, SKOKOMISH NATION, WA 98584-9748
- **Mailing address phone:** (360) 426-5755
- **Mailing address fax:** (360) 402-0082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/23/2010
- **Last updated:** 06/23/2010