DJ DRAKE JAMES LAGER SUDP
NPI 1356178669
Counselor - Addiction (Substance Use Disorder) in Chehalis, WA
Active since September 19, 2024
About Dj Drake James Lager Sudp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DJ DRAKE JAMES LAGER SUDP (NPI 1356178669) is an individual addiction (substance use disorder) provider in Chehalis, Washington, licensed in Washington (CP00005043) and active in the NPI registry since September 2024.
NPPES Registry Identity
NPI1356178669
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameDJ DRAKE JAMES LAGERCredential: SUDP
Location Address505 SE ADAMS AVEChehalis, WA 98532-3031
Mailing Address505 Se Adams AveChehalis, WA 98532-3031 · (360) 266-5029 · Fax (360) 200-0135
Phone(360) 266-5029
Fax(360) 200-0135
Sole ProprietorNo
Enumeration DateSeptember 19, 2024
NPPES CertifiedSeptember 19, 2024
✔ NPI 1356178669 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · CP00005043
505 SE ADAMS AVE, Chehalis, WA 98532
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
505 SE ADAMS AVE
CHEHALIS, WA 98532
CHEHALIS, WA 98532
Counselor (Addiction (Substance Use Disorder))
505 SE ADAMS AVE
CHEHALIS, WA 98532
CHEHALIS, WA 98532
Counselor (Addiction (Substance Use Disorder))
505 SE ADAMS AVE
CHEHALIS, WA 98532
CHEHALIS, WA 98532
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356178669, enumerated as an "individual" on September 19, 2024.
The provider is located at 505 SE ADAMS AVE CHEHALIS, WA 98532 and the phone number is (360) 266-5029.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
