Individual
RICHARD STILLWAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
840 E PLUM ST, MOSES LAKE, WA 98837-1874
(509) 765-9239
(509) 765-4124
Mailing address
840 E PLUM ST, MOSES LAKE, WA 98837-1874
(509) 765-9239
(509) 765-4124
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60188090
WA
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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