Organization
TULALIP TRIBES OF WASHINGTON
Active
Other names
Tulalip Tribes Family & Youth Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIKU SODHI (MANAGING DIRECTOR OF HEALTH SERVICE)
(360) 716-4511
Entity
Organization
Contact information
Practice address
2821 MISSION HILL RD, TULALIP, WA 98271
(360) 716-4400
(360) 716-5789
Mailing address
6406 MARINE DR STE A, TULALIP, WA 98271
(360) 716-4400
(360) 716-5789
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
31-0240-00
WA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1001570
—
WA
05
—
1980952
—
WA
05
—
198754
—
WA
05
—
1993476
—
WA
Enumeration date
10/13/2006
Last updated
11/03/2022
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