DALLAS DELAGRANGE CDP
NPI 1710302336
Counselor - Addiction (Substance Use Disorder) in Longview, WA
Active since February 19, 2014
About Dallas Delagrange Cdp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DALLAS DELAGRANGE CDP (NPI 1710302336) is an individual addiction (substance use disorder) provider in Longview, Washington, licensed in Washington (CP60538325) and active in the NPI registry since February 2014.
NPPES Registry Identity
NPI1710302336
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameDALLAS DELAGRANGECredential: CDP
Location Address1044 11TH AVELongview, WA 98632-2506
Mailing AddressPo Box 2429Longview, WA 98632-8486 · (360) 575-8331
Phone(360) 575-3316
Sole ProprietorNo
Enumeration DateFebruary 19, 2014
Last NPPES UpdateMay 2, 20222 updates tracked since enumeration
NPPES CertifiedMay 2, 2022
✔ NPI 1710302336 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · CP60538325
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License SC61275777 (WA)
1044 11TH AVE, Longview, WA 98632
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Counselor (Addiction (Substance Use Disorder))
1044 11TH AVE
LONGVIEW, WA 98632
LONGVIEW, WA 98632
Nurse Practitioner (Psychiatric/Mental Health)
1044 11TH AVE
LONGVIEW, WA 98632
LONGVIEW, WA 98632
Counselor (Addiction (Substance Use Disorder))
1044 11TH AVE
LONGVIEW, WA 98632
LONGVIEW, WA 98632
Counselor (Addiction (Substance Use Disorder))
1044 11TH AVE
LONGVIEW, WA 98632
LONGVIEW, WA 98632
Counselor (Addiction (Substance Use Disorder))
1044 11TH AVE
LONGVIEW, WA 98632
LONGVIEW, WA 98632
Counselor (Addiction (Substance Use Disorder))
1044 11TH AVE
LONGVIEW, WA 98632
LONGVIEW, WA 98632
Nurse Practitioner (Psychiatric/Mental Health)
1044 11TH AVE
LONGVIEW, WA 98632
LONGVIEW, WA 98632
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710302336, enumerated as an "individual" on February 19, 2014.
The provider is located at 1044 11TH AVE LONGVIEW, WA 98632 and the phone number is (360) 575-3316.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).