| Discoverymd, Kent | |
|
841 Central Ave N Ste C-215 Kent WA 98032-2016 | |
| (714) 828-1800 | |
| (714) 882-1186 |
| Full Name | Discoverymd, Kent |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 841 Central Ave N Ste C-215, Kent, Washington |
| Authorized Official Name and Position | Magdalen Gustilo (DIRECTOR OF PAYER RELATIONS) |
| Authorized Official Contact | 7145687667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Discoverymd, Kent 18401 Von Karman Ave Ste 500 Irvine CA 92612-8531 Ph: (714) 828-1800 | Discoverymd, Kent 841 Central Ave N Ste C-215 Kent WA 98032-2016 Ph: (714) 828-1800 |
| NPI Number | 1790007896 |
|---|---|
| Provider Enumeration Date | 02/17/2010 |
| Last Update Date | 05/08/2023 |
| Certification Date | 05/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790007896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 149400 (Washington) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
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