| Mr Mitchell Andrew Cueba Jr, CO61037829 | |
|
20 Gunnyon Rd., Toppenish, WA 98948-9894 | |
| (509) 865-5121 | |
| (509) 865-4333 |
| Full Name | Mr Mitchell Andrew Cueba Jr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 20 Gunnyon Rd., Toppenish, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497382782 | NPI | - | NPPES |
| 91-0755984 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CO61037829 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mitchell Andrew Cueba Jr, CO61037829 201 Highland Dr, Buena, WA 98921-0139 Ph: () - | Mr Mitchell Andrew Cueba Jr, CO61037829 20 Gunnyon Rd., Toppenish, WA 98948-9894 Ph: (509) 865-5121 |
Daniel Mackie, Counselor Medicare: Not Enrolled in Medicare Practice Location: 321 W 1st Ave, Toppenish, WA 98948 Phone: 509-865-5233 | |
Sarah Guel, Counselor Medicare: Medicare Enrolled Practice Location: 510 W 1st Ave, Toppenish, WA 98948 Phone: 509-865-3127 | |
Eriberto Guadalupe Diaz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 321 W 1st Ave, Toppenish, WA 98948 Phone: 509-865-5233 Fax: 509-865-6505 | |
Robert Wade Benge, CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Gunnyon Road, Toppenish, WA 98948 Phone: 509-865-5121 Fax: 509-865-4333 | |
Kim Michelle Collucci, BFA Counselor Medicare: Not Enrolled in Medicare Practice Location: 217 S Toppenish Ave, Toppenish, WA 98948 Phone: 509-865-5121 Fax: 509-865-2064 | |
Adriana Andrea Moncada, CHEMICAL DEPENDENCY Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Gunnyon Road, Toppenish, WA 98948 Phone: 509-865-5121 | |
Kristoffer Jordan Strom, Counselor Medicare: Not Enrolled in Medicare Practice Location: 511 S Elm St, Toppenish, WA 98948 Phone: 509-865-5121 |