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Organization
SWINOMISH TRIBAL MENTAL HEALTH PROGRAM
Active
Organization
SWINOMISH TRIBAL MENTAL HEALTH PROGRAM
Active
Parent organization
SWINOMISH TRIBAL COMMUNITY
Other names
Swinomish Tribal Community
Organization subpart
Yes
Provider details
NPI number
Legal business name
SWINOMISH TRIBAL COMMUNITY
Authorized official
DR. MARK BACKLUND (DIRECTOR)
(360) 466-1275
Entity
Organization
Contact information
Practice address
17395 RESERVATION RD, LA CONNER, WA 98257-8802
(360) 466-1275
(360) 466-7301
Mailing address
PO BOX 388, LA CONNER, WA 98257-0388
(360) 466-1275
(360) 466-7301
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1981281
—
WA
Enumeration date
06/19/2007
Last updated
08/20/2007
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