Organization
ISLAND ASSESSMENT AND COUNSELING CENTER, INC.
Active
Other names
Island Assessment and Counseling Center, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY E LIDDLE MA, CDP, LMHC, MAC (OWNER)
(360) 675-5782
Entity
Organization
Contact information
Practice address
520 E WHIDBEY AVE STE 205, OAK HARBOR, WA 98277-5921
(360) 675-5782
(360) 675-9115
Mailing address
520 E WHIDBEY AVE STE 205, OAK HARBOR, WA 98277-5921
(360) 675-5782
(360) 675-9115
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
601 740 480
WA
Other
Enumeration date
03/20/2007
Last updated
07/24/2012
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