Doctor Name: | BECKY TWOHY |
NPI Number: | 1053437178 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | CP00001280 |
Business Practice Address: | 112 W Main St Goldendale, WA - 986209589 |
Business Phone Number: | 5097735801 |
Business Fax Number: | |
Mailing Address: | Po Box 959, YAKIMA |
State: | WA |
Postal Code: | 989070959 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/21/2007 |
NPI Last Update Date: | 03/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | CP00001280 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |