Cowlitz Tribal Health Services

About Cowlitz Tribal Health Services

Cowlitz Indian Tribe Health and Human Services is a behavioral health and substance use treatment provider in Tukwila, Washington. The Tukwila health center offers outpatient substance use care with behavioral health and mental health services as well as telehealth and youth services within a culturally informed tribal health setting.

What kinds of addiction and behavioral health services are offered?

The Tukwila health center provides outpatient substance use treatment along with behavioral health, mental health, and psychiatric services. Telehealth is also available, giving clients flexible access to care from home.

Who can get help here?

Services are culturally informed and oriented toward regional Indian communities across King, Pierce, Thurston, and nearby counties. The Tukwila center offers youth services, supporting younger community members alongside broader behavioral health care.

Where is the center located?

Cowlitz Indian Tribe Health and Human Services is located in Tukwila on 65th Avenue South, serving Native and regional Indian communities throughout the greater King County area. The office is open weekdays, Monday through Friday, from 8:00 a.m. to 5:00 p.m.

What makes this program unique?

As a tribal health provider the center delivers culturally informed behavioral health support tied to the Cowlitz Indian Tribe. It is part of a broader multi-location system that combines outpatient care, telehealth, and youth services in one setting.

Edited by: Kimberly Hawkins, MSc

Last Updated: June 22, 2026

Addiction Treatment Programs

Alcohol Rehab
If you’re looking to break free of dependence on alcohol, a high-quality alcohol rehab in Washington can help. These treatment programs offer detox, inpatient treatment, and outpatient care. You may receive individual, group, and family counseling, peer support, and classes in essential life skills.
Dual Diagnosis
During dual diagnosis treatment in Washington, you’ll receive integrated care for your mental health and substance use concerns, helping you establish long-term recovery.Part of treatment will include managing your mental health symptoms so you aren’t tempted to use substances to self-medicate. This can be done without counseling and medication.
Opioid Addiction
A high-quality rehab in Washington helps people gain the skills they need to overcome opioid addiction and maintain long-term sobriety. The rehab program may use multiple approaches, including nutrition, psychology, holistic methods, and support groups. These tools help you build a substance-free lifestyle and move into long-term recovery.
Adult Program
When people join an adult program in Washington, they learn about topics such as employment and raising a family while receiving treatment. These treatment programs offer detox, inpatient treatment, and outpatient care tailored to the specific needs and challenges of adults.
Men's Rehab
Men’s rehabs in Washington address a wide range of substance use issues while also helping clients with gender-specific issues. These treatment programs offer detox, inpatient treatment, and outpatient care tailored to the unique needs and challenges men face, which may include questions about career, fatherhood, family relationships, emotional vulnerability, and more.
Women's Rehab
A women’s rehab in Washington helps clients build same-gender friendships, overcome substance use, and learn new life skills. These treatment programs offer detox, inpatient treatment, and outpatient care tailored to the unique needs and challenges of women. They generally also include life skills training tailored to the client’s needs.
Young Adult Rehab
Young adult rehab programs in Washington can help young people make healthier life choices and avoid common mistakes. These treatment programs offer detox, inpatient treatment, and outpatient care tailored to the unique needs and challenges of young adults.
Substance Use Disorder Treatment
The Tukwila clinic delivers outpatient substance use disorder treatment through Cowlitz Tribal Health Services, pairing recovery support services with counseling for individuals seeking help with addiction in a tribal health setting.
Medication Assisted Treatment (MAT)
Medication Assisted Treatment is offered as part of SUD services at the Tukwila office, supporting individuals in outpatient recovery through Cowlitz Tribal Health Services’ integrated behavioral health program.
Gambling Disorder Treatment
Cowlitz Tribal Health Services offers specialized behavioral health support for gambling disorder, addressing this behavioral addiction alongside substance use services at the Tukwila clinic location.
Problematic Sexual Behavior Treatment
The Tukwila clinic provides treatment for problematic sexual behavior as part of its broader behavioral health offerings, extending Cowlitz Tribal Health Services’ specialized care beyond substance use disorders alone.
Mental Health Counseling
Mental health counseling is available alongside substance use disorder services at the Tukwila office, reflecting an integrated approach to behavioral health within Cowlitz Tribal Health Services.
Psychiatric Services
Psychiatric services support clients receiving outpatient care at the Tukwila clinic, working in coordination with counseling and MAT to address co-occurring mental health and substance use needs.

Insurance Coverage

Medicaid
There are many ways to pay for rehab in Washington, including using Medicaid if you qualify. You can find treatment centers that accept Medicaid offering multiple levels of care, including detox, inpatient, and outpatient. You may pay little or nothing out-of-pocket.
Private insurance
How do you pay for rehab in Washington? A good option is private insurance. Be sure to contact your insurer to get coverage details, including what centers are in-network with your plan and what out-of-pocket costs you may be responsible for.
Self-pay options
In Washington, you can pay for rehab in many ways, including self-pay. With self-pay, also known as private pay, you write a check, use a medical loan, or electronically transfer money to the center. Check on the payment structure, which may vary depending on the level of care.
Financial aid
Trying to see if you qualify for financial aid programs can be a great way to pay for rehab in Washington. Getting a scholarship or grant can help you pay for any level of treatment, from detox to inpatient to outpatient care.

Levels of Care

1
Outpatient Rehab
Cowlitz Tribal Health Services provides outpatient treatment for substance use disorders at its Tukwila, Washington clinic, combining counseling, case management, and recovery support without requiring residential stays.
2
Aftercare Support
Accessing aftercare in Washington is a way to reduce the risk of relapse, helping you establish long-term recovery. Aftercare may include ongoing counseling, additional life-skills training, peer support, and recovery support groups.
3
Sober Living Homes
Sober living in Washington helps clients maintain long-term recovery by providing essential support after treatment ends. Sober living may provide access to ongoing counseling, additional life-skills training, peer support, and recovery support groups.

Therapies

Experiential Therapy
In Washington, experiential therapy helps you express your emotions in non-traditional ways. This makes it much easier to reach long-term recovery. During treatment, you may take part in art projects, musical expression, or physical challenges like an obstacle course. These allow you to process emotions in a non-traditional way.
Family Therapy
During family therapy in Washington, clients and their loved ones can address dysfunctional relationships, resentments, and conflicts in order to create healthier relationships that support the client’s recovery. Family therapy can mean addressing uncomfortable and challenging issues, but having a professional therapist facilitating the sessions makes it easier for everyone to share honestly and improve their relationships.
Group Therapy
During group therapy in Washington, each client has a chance to share their unique experiences and feelings about the discussion topic. This creates accountability and support. Some of the topics covered in group therapy include overcoming shame and guilt, improving communication, developing healthy coping skills, and building a support network.
Individual Therapy
You’re not alone as you work through addiction in Washington. Individual therapy gives you a professional who’s on your side to help you build a new life. Individual therapy sessions generally last 60 minutes and may include discussing a specific issue, education about specific topics, or developing life skills.
Trauma Therapy
During trauma-informed therapy in Washington, you’ll be given the tools you need to manage your emotions and understand what happened in a healthier way. Trauma-informed therapy is a normal part of evidence-based treatment programs and may be a part of inpatient treatment, outpatient care, or both. Methods include sharing of experiences, peer support, mindfulness practices, and more.
Individual Counseling
Cowlitz Tribal Health Services offers one-on-one counseling for substance use disorders at its Tukwila clinic, helping clients address addiction triggers and build recovery skills within an outpatient behavioral health setting.
Group Counseling
Group-based sessions at the Tukwila clinic give clients working through substance use disorders a peer support setting, complementing individual counseling and case management within Cowlitz Tribal Health Services programs.
Case Management
Case management services help coordinate care for individuals in outpatient treatment at the Tukwila location, connecting clients to counseling, psychiatry, and recovery support resources through Cowlitz Tribal Health Services.