IndividualActive
Peter Lack
NPI 1033529987 · Addiction (Substance Use Disorder) Psychologist · Port Townsend, WA
Provider details
- NPI number
- 1033529987
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- CP00006346 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
3804 Hastings Ave W
Port Townsend, WA 98368-9642
Phone: (360) 385-5505
Fax: (360) 385-3605
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 102
Port Townsend, WA 98368-0102
Registry dates
- Enumerated
- 2014-04-30
- Last updated
- 2014-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.