Individual
MICHAEL ANTHONY JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SUDP
Contact information
Practice address
21 COLVILLE ST., NESPELEM, WA 99155
(509) 634-2586
(509) 634-2607
Mailing address
PO BOX 150, NESPELEM, WA 99155-0150
(509) 634-2586
(509) 634-2607
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6250
CO
324500000X
Substance Abuse Rehabilitation Facility
Primary
116600
CO
Other
Enumeration date
04/14/2009
Last updated
02/26/2021
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