| Consejo Counseling And Referral Service - Lake City | |
|
2611 Ne 125th St Suite 145 Seattle WA 98125-4373 | |
| (206) 461-4880 | |
| (206) 367-3199 |
| Full Name | Consejo Counseling And Referral Service - Lake City |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2611 Ne 125th St, Seattle, Washington |
| Authorized Official Name and Position | Mario Paredes (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2064614880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Consejo Counseling And Referral Service - Lake City 3808 S Angeline St Seattle WA 98118-1712 Ph: (206) 461-4880 | Consejo Counseling And Referral Service - Lake City 2611 Ne 125th St Suite 145 Seattle WA 98125-4373 Ph: (206) 461-4880 |
| NPI Number | 1073090858 |
|---|---|
| Provider Enumeration Date | 07/24/2018 |
| Last Update Date | 07/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073090858 | NPI | - | NPPES |
| 200187 | Other | WA | DBHR SITE LICENSE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Washington) | Primary |
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