Provider Demographics
NPI:1144732751
Name:ARETE RESOURCES
Entity type:Organization
Organization Name:ARETE RESOURCES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:CUNNINGHAM
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:360-284-7020
Mailing Address - Street 1:114 W MAGNOLIA ST STE 423
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-4354
Mailing Address - Country:US
Mailing Address - Phone:360-284-7020
Mailing Address - Fax:866-815-3945
Practice Address - Street 1:114 W MAGNOLIA ST STE 423
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-4354
Practice Address - Country:US
Practice Address - Phone:360-284-7020
Practice Address - Fax:866-815-3945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY0001841103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAPY0001841OtherBOARD OF PSYCHOLOGY- PSYCHOLOGY LICENSE