Organization
WEST SOUND TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERIE E. DURHAM AA (EXECUTIVE ASSISTANT)
(360) 876-9430
Entity
Organization
Contact information
Practice address
1415 LUMSDEN RD, PORT ORCHARD, WA 98367-9179
(360) 876-9430
(360) 876-0713
Mailing address
1415 LUMSDEN RD, PORT ORCHARD, WA 98367-9179
(360) 876-9430
(360) 876-0713
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1993500
—
WA
Enumeration date
04/17/2007
Last updated
08/22/2020
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