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MS. ELIMA BIRD CDP
Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1992013023
Individual Registrant:MS. ELIMA BIRD CDP
Gender: F
Sole Proprietor
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
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
Tel: 509-258-7502 Fax: 509-258-4880
Registration Information:
NPI: 1992013023
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YA0400X | Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) | WA | CP60698838 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
