Organization
CEDAR GROVE COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GILL MARTIN ORR C.D.P. (DIRECTOR)
(360) 452-2443
Entity
Organization
Contact information
Practice address
1020 CAROLINE ST, PORT ANGELES, WA 98362-3902
(360) 452-2443
(360) 452-2738
Mailing address
1020 CAROLINE ST, PORT ANGELES, WA 98362-3902
(360) 452-2443
(360) 452-2738
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
05050500
WA
Other
Enumeration date
03/16/2007
Last updated
08/22/2020
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