Organization
NOOKSACK TRIBES GENESIS II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM W. WOOLSEY CDP (TREATMENT DIRECTOR)
(360) 966-7704
Entity
Organization
Contact information
Practice address
6750 MISSION RD, EVERSON, WA 98247-9749
(360) 966-7704
(360) 966-4225
Mailing address
6750 MISSION RD, EVERSON, WA 98247-9749
(360) 966-7704
(360) 966-4225
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
020300
WA
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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