Cowlitz Tribal Health Seattle

Chemical Dependency Treatment Program

15455 65th Avenue South, Seattle, WA 98188, USA


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The legacy of an ancient people in southwest Washington is rich with descendants who manage a growing portfolio of health, education, scientific research, housing, transportation, development, elder care, conservation and legal issues.   The Cowlitz Tribe is a growing force in community building in what are now Clark, Cowlitz, Lewis and parts of Pierce, Skamania and Wahkiakum Counties, a vast territory occupied by numerous Cowlitz villages prior to non-Cowlitz exploration and seizure.  Today, an elected Tribal Council is composed of professionals adept at managing multiple programs and projects.  

Tribal members engage in a rich cultural practice of old Cowlitz lifeways such the Smelt, Salmon and River Ceremonies.  They join coastal tribes in Canoe Journeys on major waterways.  They drum and sing at ceremonies throughout the year and as called upon for funerals, naming ceremonies, healings and celebration.  The Cowlitz Pow-Wow is one of the largest in southern Washington.  The Cowlitz Tribe is a significant employer and contributor to local economies.  When the Federal Government recognized the tribe officially in 2000, the Tribe thought of it as belated acknowledgement of a cohesive culture spanning centuries.  Without cover of Federal status, tribal members overcame tremendous obstacles during millennium changes, holding firm to their remembered past as one of the largest and richest tribes in what is now Washington State.     

Over time, Tribal employees leveraged a few grants into a multi-million dollar operation that has successfully produced a modern health clinic in Longview, health services in Tukwila and Vancouver and viable housing units at its St. Mary's complex near Toledo.  The St. Mary's school site, part of the Cowlitz Mission complex established by a Catholic order in the 1800’s to bring Christianity to natives of the early Territory, is now owned by the Cowlitz Tribe. 

The 2016 Cowlitz Pow Wow is scheduled for Sept 17, 2016 at Toledo High School in Toledo, Wa.Please to see all the information about the 2016 Pow Wow.

The 12th Annual Cowlitz Tribal Health Walk will be held Saturday, Sept 17, 2016 with registration beginning at 9 am! 

September 15, 2016 is the deadline for news articles or other information to be submitted for inclusion in the spring edition of the tribal newpaper!   Please get your news articles submitted for the second issue of the Tribal Newspaper scheduled to be in your homes by late October!

On Friday, July 30, 2016, the U.S. Circuit Court of Appeals for the District of Columbia affirmed the Dept of Interior's decision to create the Cowlitz reservation!

Cowlitz Indian Tribe Awards & RecognitionRead More

Cowlitz Indian Tribe Cultural ResourcesRead More

Cowlitz Indian Tribe Natural ResourcesRead More

Cowlitz Indian Tribe Health ProgramsRead More


Primary Focus of the Provider

  • Mix of Mental Health and Substance Abuse

Type of Care

  • Substance abuse treatment
  • Accepts clients on opioid medication

Facility Type


Treatment Approaches

  • Cognitive/behavioral therapy
  • Dialectical behavioral therapy
  • Substance abuse counseling approach
  • Trauma-related counseling
  • Rational emotive behavioral therapy

Facility Smoking Policy

  • Smoking permitted in designated area

Service Setting (e.g., Outpatient, Residential, etc.)

  • Outpatient
  • Intensive outpatient treatment
  • Regular outpatient treatment

Facility Operation (e.g. Private, Public)

  • Tribal government
  • State substance abuse agency
  • State mental health department
  • State department of health
  • Commission on Accreditation and Rehabilitation

Payment/Insurance Accepted

  • Cash or self-payment
  • Medicaid
  • Medicare
  • State financed health insurance plan other than Medicaid
  • Private health insurance
  • Military insurance (e.g., TRICARE)
  • IHS/Tribal/Urban (ITU) funds
  • Access to recovery (ATR) voucher

Emergency Mental Health Services


Payment Assistance Available


Language Services


Special Programs/Groups Offered

  • Persons with co-occurring mental and substance abuse disorders
  • Adolescents
  • Adult women
  • Adult men
  • Persons who have experienced trauma

Ancillary Services

  • Individual counseling offered
  • Group counseling offered
  • Family counseling offered
  • Marital/couples counseling offered
  • 12-step faciltitation approach
  • Brief intervention approach
  • Contingency management/motivational incentive
  • Motivational interviewing
  • Martix Model
  • Community reinforcement plus vouchers
  • Relapse prevention

Age Groups Accepted

  • Children/adolescents
  • Young adults
  • Adults

Gender Accepted

  • Female
  • Male

Exclusive Services


  • Cowlitz Tribal Health Seattle

    15455 65th Avenue South, Seattle, WA 98188