Individual
WILLIAM L ELDRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDPT
Contact information
Practice address
415 N MORAIN ST, KENNEWICK, WA 99336-2667
(509) 735-6900
Mailing address
415 N MORAIN ST, KENNEWICK, WA 99336-2667
(509) 735-6900
(509) 735-6914
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60960409
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CO60960409
—
WA
Enumeration date
12/14/2020
Last updated
12/18/2020
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