| James R Fouts | |
|
17311 135th Ave Ne Suite B750 Woodinville WA 98072-3519 | |
| (425) 481-2112 | |
| (425) 379-0169 |
| Full Name | James R Fouts |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 17311 135th Ave Ne, Woodinville, Washington |
| Authorized Official Name and Position | Kaeren P Fouts (CO-OWNER ADMINISTRATIVE ASSISTANT) |
| Authorized Official Contact | 4254812112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James R Fouts 17311 135th Ave Ne Suite B-750 Woodinville WA 98072-3519 Ph: (425) 481-2112 | James R Fouts 17311 135th Ave Ne Suite B750 Woodinville WA 98072-3519 Ph: (425) 481-2112 |
| NPI Number | 1730305319 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 09/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730305319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 600522884 (Washington) | Primary |
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