Organization
FULL CIRCLE COUNSELING AND RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE M. GRESHAM CNS, ARNP (REGISTERED AGENT)
(360) 376-6181
Entity
Organization
Contact information
Practice address
1286 MOUNT BAKER RD STE B208, EASTSOUND, WA 98245-8931
(360) 376-6181
(360) 376-6182
Mailing address
PO BOX 363, EASTSOUND, WA 98245-0363
(360) 376-6181
(360) 376-6182
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60026508
WA
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
AP30006672
WA
Other
Enumeration date
09/24/2011
Last updated
09/24/2011
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