Organization
ISLAND CENTER FOR COMPLEMENTARY MEDICINE INC P S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH ROSE HOUSEWORTH L.AC. (PRESIDENT)
(206) 525-0750
Entity
Organization
Contact information
Practice address
840 SE BAYSHORE DR, SUITE 204, OAK HARBOR, WA 98277-4062
(360) 679-0221
(206) 524-6530
Mailing address
6826 28TH AVE NE, SEATTLE, WA 98115-7145
(206) 525-0750
(206) 524-6530
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LH00003885
WA
101YM0800X
Mental Health Counselor
LH00003885
WA
171100000X
Acupuncturist
Primary
AC00000208
WA
Other
Enumeration date
04/03/2007
Last updated
11/03/2011
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