Mckenzie James Airhart, CDPT Valid NPI

Individual provider · Addiction (Substance Use Disorder) Counselor · Tumwater, WA

NPI

1578120911

Type

Individual (Type 1)

Primary specialty

Addiction (Substance Use Disorder) Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YA0400X

License number

CO60936167 (WA)

Sex

Male

Sole proprietor

No

Enumerated

2019-05-21

Last updated

2019-05-21