CRAIG KALVIN WEBSTER BA, CDP
NPI 1790076263
Counselor - Addiction (Substance Use Disorder) in Edmonds, WA
Active since May 02, 2011
About Craig Kalvin Webster Ba, Cdp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRAIG KALVIN WEBSTER BA, CDP (NPI 1790076263) is an individual addiction (substance use disorder) provider in Edmonds, Washington, licensed in Washington (CP60169244) and active in the NPI registry since May 2011.
NPPES Registry Identity
NPI1790076263
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameCRAIG KALVIN WEBSTERCredential: BA, CDP
Location Address547 DAYTON STEdmonds, WA 98020-3431
Mailing Address28818 82nd St SeMonroe, WA 98272-9540 · (360) 793-6740
Phone(425) 771-5166
Sole ProprietorYes
Enumeration DateMay 2, 2011
✔ NPI 1790076263 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 · CP60169244
547 DAYTON ST, Edmonds, WA 98020
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790076263, enumerated as an "individual" on May 02, 2011.
The provider is located at 547 DAYTON ST EDMONDS, WA 98020 and the phone number is (425) 771-5166.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).