Organization
NORTHWEST RESOURCES II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS RICHARD NEAL CDP, C.AD (CLINICAL DIRECTOR)
(360) 943-8810
Entity
Organization
Contact information
Practice address
2708 WESTMOOR CT SW, OLYMPIA, WA 98502-5754
(360) 943-8810
(360) 943-0931
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
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2001305
—
WA
01
—
N06671
REGENCE BLUE SHIELD
WA
Enumeration date
12/21/2006
Last updated
03/03/2021
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