| Mr James Anthony Laporta, CDPT | |
|
305 Pacific Ave S Ste 102, Kelso, WA 98626-1638 | |
| (360) 577-7442 | |
| (360) 577-7904 |
| Full Name | Mr James Anthony Laporta |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 305 Pacific Ave S Ste 102, Kelso, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184123929 | NPI | - | NPPES |
| 2117718 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CO60814728 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr James Anthony Laporta, CDPT Po Box 1847, Longview, WA 98632-8140 Ph: (360) 423-0203 | Mr James Anthony Laporta, CDPT 305 Pacific Ave S Ste 102, Kelso, WA 98626-1638 Ph: (360) 577-7442 |
Ariel Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 305 Pacific Ave S Ste 102, Kelso, WA 98626 Phone: 360-577-7442 Fax: 360-577-7904 | |
Ms. Rene Kerry Bohannon-oxford, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2707 Pacific Ave North, Kelso, WA 98626 Phone: 360-261-8467 Fax: 360-414-8906 | |
Kenneth Case, CDPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 305 Pacific Ave S Ste 102, Kelso, WA 98626 Phone: 360-577-7442 | |
Kimberly Michelle Anderson, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1710 Allen St, Kelso, WA 98626 Phone: 360-261-7020 | |
Cathy Ludahl, CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 305 Pacific Ave S Ste 102, Kelso, WA 98626 Phone: 360-577-7442 Fax: 360-577-7904 | |
Deborah Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 621 Grade St, Kelso, WA 98626 Phone: 360-425-5855 | |
Jayme Fisher, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1710 Allen St, Kelso, WA 98626 Phone: 360-261-7020 |