Organization
NORTHEAST WASHINGTON ALLIANCE COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MOSER (A/R CLERK)
(509) 685-0629
Entity
Organization
Contact information
Practice address
165 E HAWTHORNE AVE, COLVILLE, WA 99114-2629
(509) 684-4597
(509) 684-5286
Mailing address
165 E HAWTHORNE AVE, COLVILLE, WA 99114-2629
(509) 684-4597
(509) 684-5286
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1991207
—
WA
05
—
8003725
—
WA
Enumeration date
07/27/2007
Last updated
10/08/2008
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