Organization
SKOKOMISH INDIAN NATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALYNN FOSTER (OFFICE MANAGER)
(360) 426-7788
Entity
Organization
Contact information
Practice address
N 561 TRIBAL CENTER RD, SHELTON, WA 98584
(360) 426-7788
(360) 462-0082
Mailing address
N 561 TRIBAL CENTER RD, SHELTON, WA 98584
(360) 426-7788
(360) 462-0082
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP00000655
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00002317
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1991512
—
WA
Enumeration date
06/26/2007
Last updated
08/22/2020
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