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NPI Code Detail

MEDICARE: SABRINA NEWTON

MEDICARE:   SABRINA  NEWTON
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) CounselorCP 60145084WA

General Provider Information

NPI Number : 1720457112
Entity Type Code : Individual
Provider Name (Legal Business Name) : SABRINA NEWTON
Provider Business Mailing Address
First Line : 105 S GARDEN AVE
Second Line :
City : NEWPORT
State : WA
Zip : 99156-9001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 105 S GARDEN AVE
Second Line : BOX 5055
City : NEWPORT
State : WA
Zip : 99156-9001
Country : US
Telephone Number : 509-447-5651
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2015
Last Update Date : 09/16/2015

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Directions to “ SABRINA NEWTON ” Practice Location

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