| Lincoln County Alcohol Drug Center | |
|
505 First St Davenport WA 99122-0152 | |
| (509) 725-2111 | |
| (509) 725-2141 |
| Full Name | Lincoln County Alcohol Drug Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 505 First St, Davenport, Washington |
| Authorized Official Name and Position | Darren Mattozzi (DIRECTOR) |
| Authorized Official Contact | 5097252111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lincoln County Alcohol Drug Center Po Box 152 Davenport WA 99122-0152 Ph: (509) 725-2111 | Lincoln County Alcohol Drug Center 505 First St Davenport WA 99122-0152 Ph: (509) 725-2111 |
| NPI Number | 1831381342 |
|---|---|
| Provider Enumeration Date | 08/17/2007 |
| Last Update Date | 12/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831381342 | NPI | - | NPPES |
| 1990340 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CP00003123 (Washington) | Primary |
Jason Raugust Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 547 Morgan St, Davenport, WA 99122 Phone: 509-389-0726 | |
Capstone Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 49 Park Street, Davenport, WA 99122 Phone: 509-725-4900 Fax: 509-725-4901 |