Individual
MR. MITCHELL ANDREW CUEBA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO61037829
Contact information
Practice address
20 GUNNYON RD., TOPPENISH, WA 98948-9894
(509) 865-5121
(509) 865-4333
Mailing address
201 HIGHLAND DR, BUENA, WA 98921-0139
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61037829
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91-0755984
—
WA
Enumeration date
03/25/2020
Last updated
09/21/2022
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