Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daybreak Youth Services

Organization Addiction (Substance Use Disorder) Counselor · NPI 1003199712

Daybreak Youth Services is an Addiction (Substance Use Disorder) Counselor in Vancouver, Washington. Licensed in Washington. Registered with an NPI since 2011.

Licensed in
WA
In the registry since
2011
Specialties on file
3
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Practice location Address checks out

11818 SE Mill Plain Blvd Ste 307
Vancouver, WA 98684
Phone: (360) 750-9635
Fax: (360) 334-9541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 06155400 (WA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 06155400 (WA)
Case Management Agency Taxonomy 251B00000X · Licence 06155400 (WA)

Record details

NPI number1003199712
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationDaybreak Youth Services
Authorized official Thomas Russell — Ceo · (509) 444-7033
Other names Daybreak Vancouver Outpatient; Daybreak Vancouver Outpatient
NPI enumeratedSeptember 20, 2011
Last updated in NPPESSeptember 22, 2022
Certification dateSeptember 22, 2022
Mailing address960 E 3rd Ave, Spokane, WA 99202-2241

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