| |
841 Central Ave N Ste C-215 Kent WA 98032-2016 | |
(714) 828-1800 | |
(714) 882-1186 |
Full Name | |
---|---|
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 |
---|---|
18401 Von Karman Ave Ste 500 Irvine CA 92612-8531 Ph: (714) 828-1800 | 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 |
Sosa Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 25029 144th Pl Se, Kent, WA 98042 Phone: 650-922-3049 | |
Roundtable Counseling And Consulting Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3628 Manchester Way, Kent, WA 98032 Phone: 218-341-9707 | |
Behavior Group, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 Stetson Ave, Kent, WA 98031 Phone: 206-755-2233 | |
Angela Attri, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13243 Se 260th Ln, Kent, WA 98042 Phone: 206-659-1455 Fax: 206-635-3554 | |