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Organization

SUQUAMISH TRIBAL

Active
Other names
Suquamish Wellness Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STEPHEN HENRY KUTZ RN (HEALTH CLINIC DIRECTOR)
(360) 394-8552
Entity
Organization

Contact information

Practice address
18490 SUQUAMISH WAY NE UNIT 107, SUQUAMISH, WA 98392-9533
(360) 394-8558
(360) 598-1724
Mailing address
PO BOX 1228, SUQUAMISH, WA 98392-1228
(360) 394-5200
(360) 598-1724

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YM0800X
Mental Health Counselor
103T00000X
Psychologist
104100000X
Social Worker
106H00000X
Marriage & Family Therapist
251S00000X
Community/Behavioral Health Agency
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center

Other

Enumeration date
03/14/2007
Last updated
02/02/2024
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