Organization
CASCADE RECOVERY RESOURCE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAM STONEBURG CDP, NCACI (PROGRAM ADMINISTRATOR)
(509) 933-3838
Entity
Organization
Contact information
Practice address
707 N PEARL ST, SUITE D, ELLENSBURG, WA 98926-2938
(509) 933-3838
(509) 933-4044
Mailing address
707 N PEARL ST, SUITE D, ELLENSBURG, WA 98926-2938
(509) 933-3838
(509) 933-4044
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
602292
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1995299
—
WA
Enumeration date
02/05/2007
Last updated
08/22/2020
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