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Organization
NORTHWEST RESOURCES II
Active
Organization
NORTHWEST RESOURCES II
Active
Parent organization
NORTHWEST RESOURCES II, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWEST RESOURCES II, INC
Authorized official
DENNIS R NEAL CDP, C.AD (CLINICAL DIRECTOR)
(360) 943-8810
Entity
Organization
Contact information
Practice address
325 S 3RD STREET, SHELTON, WA 98584-1735
(360) 426-0890
(360) 426-4688
Mailing address
2708 WESTMOOR CT SW, OLYMPIA, WA 98502-5754
(360) 943-8810
(360) 943-0931
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1055102
—
WA
Enumeration date
12/21/2006
Last updated
03/03/2021
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