| Coram Deo Counseling, Llc | |
|
430 Se Gosnell Ln Shelton WA 98584-8384 | |
| (206) 679-0531 | |
| Not Available |
| Full Name | Coram Deo Counseling, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 430 Se Gosnell Ln, Shelton, Washington |
| Authorized Official Name and Position | Timoteo D Yepes (OWNER/MANAGER) |
| Authorized Official Contact | 2066790531 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coram Deo Counseling, Llc 430 Se Gosnell Ln Shelton WA 98584-8384 Ph: (206) 679-0531 | Coram Deo Counseling, Llc 430 Se Gosnell Ln Shelton WA 98584-8384 Ph: (206) 679-0531 |
| NPI Number | 1598591497 |
|---|---|
| Provider Enumeration Date | 09/09/2024 |
| Last Update Date | 09/09/2024 |
| Certification Date | 09/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598591497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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