Organization
AWAKENINGS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE RETO (BILLING)
(360) 423-2806
Entity
Organization
Contact information
Practice address
404 W MAIN ST, KELSO, WA 98626-1118
(360) 423-2806
Mailing address
404 W MAIN ST, KELSO, WA 98626-1118
(360) 423-2806
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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