Provider Demographics
NPI:1295008464
Name:WHATCOM COUNSELING & PSYCHIATRIC CLINIC
Entity Type:Organization
Organization Name:WHATCOM COUNSELING & PSYCHIATRIC CLINIC
Other - Org Name:WESTCOAST COUNSELING & TREATMENT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-676-2220
Mailing Address - Street 1:1200 DUPONT ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-3100
Mailing Address - Country:US
Mailing Address - Phone:360-647-7577
Mailing Address - Fax:
Practice Address - Street 1:1200 DUPONT ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-3100
Practice Address - Country:US
Practice Address - Phone:360-647-7577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-17
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder