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DR. STEVEN MARK FENWICK PH.D LMHC CDP NPI 1790894483


NPI Information

NPI: 1790894483
Provider Name: DR. STEVEN MARK FENWICK, PH.D, LMHC, CDP
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
222 KENYON ST NW STE 14
OLYMPIA, WA
ZIP 98502
Phone: (360) 867-1877
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DR. Steven Mark Fenwick, PH.D, LMHC, CDP is an addiction (substance use disorder) counselor in Olympia, WA. DR. Steven Mark Fenwick, PH.D, LMHC, CDP NPI is 1790894483. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

222 KENYON ST NW STE 14
OLYMPIA, WA
ZIP 98502-553
Phone: (360) 867-1877

The NPI 1790894483 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/29/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)CP00002215WASHINGTONYes
2101YM0800XCounselorMental HealthLH00005236WASHINGTONX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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