Organization
CONFEDERATED TRIBES AND BANDS OF THE YAKAMA NATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN M SWAN (PROGRAM MANAGER)
(509) 874-2979
Entity
Organization
Contact information
Practice address
520 SIGNAL PEAK ROAD, WHITE SWAN, WA 98952
(509) 874-2979
(509) 874-2113
Mailing address
401 FORT ROAD, TOPPENISH, WA 98948
(509) 865-5121
(509) 874-2113
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
103TP0016X
Prescribing (Medical) Psychologist
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1981265
—
WA
Enumeration date
08/13/2007
Last updated
07/16/2008
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