Organization
UPPER SKAGIT INDIAN TRIBE
Active
Organization
UPPER SKAGIT INDIAN TRIBE
Active
Parent organization
UPPER SKAGIT INDIAN TRIBE
Other names
Upper Skagit Tribal Mental HealthClinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
UPPER SKAGIT INDIAN TRIBE
Authorized official
MS. MARILYN M SCOTT (DIRECTOR OF HEALTH & SOCIAL SERVICE)
(360) 854-7065
Entity
Organization
Contact information
Practice address
25959 COMMUNITY PLAZA WAY, SEDRO WOOLLEY, WA 98284-9721
(360) 854-7070
Mailing address
25944 COMMUNITY PLAZA WAY, SEDRO WOOLLEY, WA 98284-9721
(360) 854-7070
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH00008445
WA
103TC1900X
Counseling Psychologist
Primary
LH00008445
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1981323
—
WA
01
—
6960FE
REGENCE BLUE SHIELD
WA
Enumeration date
06/23/2008
Last updated
06/23/2008
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