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NPI Code Detail

MEDICARE: THE VALLEY ALCOHOL COUNCIL

MEDICARE: THE VALLEY ALCOHOL COUNCIL
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) CounselorWA
2251B00000XCase Management Agency
3261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
4261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center39 1078 00WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1BHA.FS.60873169OTHERWADOH LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548306210
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE VALLEY ALCOHOL COUNCIL
Provider Business Mailing Address
First Line : PO BOX 376
Second Line :
City : YAKIMA
State : WA
Zip : 98907-0376
Country : US
Telephone Number : 509-469-9366
Fax Number : 509-469-9926
Provider Business Practice Location Address
First Line : 315 N 2ND ST
Second Line :
City : YAKIMA
State : WA
Zip : 98901-2334
Country : US
Telephone Number : 509-469-9366
Fax Number : 509-469-9926
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MRS. SHEREEN HUNT
Credential :
Telephone Number : 509-837-7700
Provider Enumeration Date : 01/30/2007
Last Update Date : 02/26/2022

Similar Medicare Providers

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Practice Location Address:
315 N 2ND ST
YAKIMA, WA
98901-2334
Practice Phone: 509-469-9366
Practice Fax:
1174953111 — MRS. SHEREEN HUNT CDP
Practice Location Address:
315 N 2ND ST
YAKIMA, WA
98901-2334
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Practice Fax: 509-469-9926
1275083966 — MERIT RESOURCE SERVICES
Practice Location Address:
315 N 2ND ST
YAKIMA, WA
98901-2334
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Practice Fax:
1740731256 — MERIT RESOURCE SERVICES
Practice Location Address:
315 N 2ND ST
YAKIMA, WA
98901-2334
Practice Phone: 509-469-9366
Practice Fax: 509-469-9926
1144772682 — MRS. EMILY NELSON CDP
Practice Location Address:
315 N 2ND ST
YAKIMA, WA
98901-2334
Practice Phone: 509-469-9366
Practice Fax: 509-469-9926
1063964468 — HOPE COLLEEN BAKER CDP
Practice Location Address:
315 N 2ND ST
YAKIMA, WA
98901-2334
Practice Phone: 509-469-9366
Practice Fax: 509-469-9926

Directions to “THE VALLEY ALCOHOL COUNCIL ” Practice Location

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