| A Change Counseling Center Inc. | |
|
4002 S M St Ste C Tacoma WA 98418-3800 | |
| (253) 473-1844 | |
| (253) 473-1839 |
| Full Name | A Change Counseling Center Inc. |
|---|---|
| Speciality | Counselor |
| Location | 4002 S M St Ste C, Tacoma, Washington |
| Authorized Official Name and Position | Melinda J Broussard (OFFICE MANAGER) |
| Authorized Official Contact | 2534731844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Change Counseling Center Inc. 4002 S M St Ste C Tacoma WA 98418-3800 Ph: (253) 473-1844 | A Change Counseling Center Inc. 4002 S M St Ste C Tacoma WA 98418-3800 Ph: (253) 473-1844 |
| NPI Number | 1457458721 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457458721 | NPI | - | NPPES |
| 1328 | Other | WA | PREMERA BLUE CROSS ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | CP00000521 (Washington) | Primary |
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