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MS. ELIMA BIRD CDP

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1992013023

Individual Registrant:
MS. ELIMA  BIRD CDP
Gender: F
Sole Proprietor

Location and contact information for practice:
6228 E. OLD SCHOOL ROAD  WELLPINIT, WA 99040-0540 US
Tel: 509-258-7502  Fax: 509-258-4880

Contact information for business:
PO BOX 540  WELLPINIT, WA 99040-0540 US
Tel: 509-258-7502  Fax: 509-258-4880

Registration Information:
NPI: 1992013023
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
WACP60698838

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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