Individual
BALEVA MAURICE WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDP, CV
Contact information
Practice address
811 MADISON ST, EVERETT, WA 98203-4543
(425) 212-4200
(425) 212-4201
Mailing address
PO BOX 2569, EVERETT, WA 98213-0569
(425) 212-4200
(425) 212-4201
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548409345
—
WA
05
—
17143800
—
WA
Enumeration date
02/18/2009
Last updated
09/11/2025
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