ISAAC JOHN MCGAHAN SUDPT
NPI 1467078022
Counselor - Addiction (Substance Use Disorder) in Yakima, WA
Active since June 19, 2020
About Isaac John Mcgahan Sudpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ISAAC JOHN MCGAHAN SUDPT (NPI 1467078022) is an individual addiction (substance use disorder) provider in Yakima, Washington, licensed in Washington (60932375) and active in the NPI registry since June 2020.
NPPES Registry Identity
NPI1467078022
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameISAAC JOHN MCGAHANCredential: SUDPT
Location Address2280 WA-821Yakima, WA 98902
Mailing Address118 N 80th AveYakima, WA 98908-1517
Phone(509) 457-0990
Fax(509) 454-4548
Sole ProprietorNo
Enumeration DateJune 19, 2020
NPPES CertifiedJune 19, 2020
✔ NPI 1467078022 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 · 60932375
2280 WA-821, Yakima, WA 98902
Other Identifiers 1
Other871512541WA · Cas
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467078022, enumerated as an "individual" on June 19, 2020.
The provider is located at 2280 WA-821 YAKIMA, WA 98902 and the phone number is (509) 457-0990.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
