Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1710003132

Unknown Individual is a healthcare provider. based in Kennewick, Washington. specializing in Addiction (Substance Use Disorder) Counselor. They hold a License No. RC00054670 (WA). The NPI Number for Unknown Individual is 1710003132

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1710003132
Phone
(509) 735-9651
Address
4711 W METALINE AVE
Deactivation Date
21 January 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 4711 W METALINE AVE

    G102

    KENNEWICK, WA 993362175

    Phone: (509) 735-9651

    Type: Mailing

  • 520 N 4TH AVE

    PASCO, WA 993015257

    Phone: (509) 547-7704

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99336)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1710003132.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What kind of provider is Unknown Individual?
The page reflects Addiction (Substance Use Disorder) Counselor for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Washington?
You will see Kennewick, Washington on file for Unknown Individual alongside any extra practice locations.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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