Descoteaux, Benjamin Theodore

Descoteaux, Benjamin Theodore is an individual health care provider with primary practice located at 1007 Koala Ave , Omak WA 98841-9247. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Descoteaux, Benjamin Theodore can be contacted via phone (509) 826-6191.

Contact Information

Primary practice address
1007 Koala Ave Omak WA 98841-9247
Phone: (509) 826-6191
Fax: (509) 826-8560
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH00009254 Washington
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CP00001300 Washington
Behavioral Health & Social Service Providers / Counselor 101Y00000X RC00030840 Washington

Profile Details

NPI number 1255440376
LBN Legal business name Descoteaux, Benjamin Theodore
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Nov 11th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1255440376 NPPES
Washington MEDICAID 1980812

Popular Providers