Organization
STILLAGUAMISH TRIBE OF INDIANS
Active
Parent organization
STILLAGUAMISH TRIBE OF INDIANS
Other names
ICCS, Island Crossing Counseling Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
STILLAGUAMISH TRIBE OF INDIANS
Authorized official
KRISTA YANDLE (BILLING SUPERVISOR)
(360) 652-9640
Entity
Organization
Contact information
Practice address
5700 172ND ST NE # A, ARLINGTON, WA 98223-7742
(360) 652-9640
(360) 652-2093
Mailing address
5700 172ND ST NE # A, ARLINGTON, WA 98223-7742
(360) 652-9640
(360) 652-2093
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QM2800X
Methadone Clinic
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1994565
—
WA
Enumeration date
02/12/2007
Last updated
05/08/2025
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