Individual
MR. SACHIN PRAKASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDP RAAC
Contact information
Practice address
325 W GOWE ST, KENT, WA 98032-5892
(253) 833-7444
Mailing address
325 W GOWE ST, KENT, WA 98032-5892
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG61619129
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60760445
WA
Other
Enumeration date
03/26/2019
Last updated
02/04/2026
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