| Carousel Counseling, Pllc | |
|
10116 36th Avenue Ct Sw 109 Lakewood WA 98499-4791 | |
| (253) 332-1030 | |
| Not Available |
| Full Name | Carousel Counseling, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10116 36th Avenue Ct Sw, Lakewood, Washington |
| Authorized Official Name and Position | Janet Shelstad (PRESIDENT, STAFF) |
| Authorized Official Contact | 2533321030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carousel Counseling, Pllc 10116 36th Avenue Ct Sw 109 Lakewood WA 98499-4791 Ph: (253) 332-1030 | Carousel Counseling, Pllc 10116 36th Avenue Ct Sw 109 Lakewood WA 98499-4791 Ph: (253) 332-1030 |
| NPI Number | 1427596949 |
|---|---|
| Provider Enumeration Date | 02/03/2017 |
| Last Update Date | 02/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427596949 | NPI | - | NPPES |
| 2011491 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LF60071452 (Washington) | Primary |
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