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NPI Code Detail

MEDICARE: DAVID CECIL LAUGHERY SUDPT

MEDICARE: DAVID CECIL LAUGHERY SUDPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor61607268WA

General Provider Information

NPI Number : 1578319174
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID CECIL LAUGHERY SUDPT
Provider Business Mailing Address
First Line : 7510 W DESCHUTES PL
Second Line :
City : KENNEWICK
State : WA
Zip : 99336-7719
Country : US
Telephone Number : 509-837-7700
Fax Number :
Provider Business Practice Location Address
First Line : 7510 W DESCHUTES PL
Second Line :
City : KENNEWICK
State : WA
Zip : 99336-7719
Country : US
Telephone Number : 509-837-7700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2024
Last Update Date : 05/28/2026

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Directions to “ DAVID CECIL LAUGHERY SUDPT” Practice Location

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