Organization
BEACON OF HOPE, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLARENCE WILLIAM WETHERALD SR. CDP (COUNSELOR)
(360) 385-3866
Entity
Organization
Contact information
Practice address
686 LAKE ST STE 400, PORT TOWNSEND, WA 98368-2282
(360) 385-3876
(360) 385-7288
Mailing address
686 LAKE ST STE 400, PORT TOWNSEND, WA 98368-2282
(360) 385-3876
(360) 385-7288
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CP60235589
WA
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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