| Nw Reentry Services, Llc | |
|
Po Box 73217 Puyallup WA 98373-0217 | |
| (253) 271-8881 | |
| Not Available |
| Full Name | Nw Reentry Services, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | Po Box 73217, Puyallup, Washington |
| Authorized Official Name and Position | Alexa Balderston (OWNER) |
| Authorized Official Contact | 5327188812 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nw Reentry Services, Llc 18208 113th Ave E Puyallup WA 98374-8854 Ph: (253) 359-3219 | Nw Reentry Services, Llc Po Box 73217 Puyallup WA 98373-0217 Ph: (253) 271-8881 |
| NPI Number | 1659181790 |
|---|---|
| Provider Enumeration Date | 01/10/2025 |
| Last Update Date | 02/18/2025 |
| Certification Date | 02/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659181790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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