| Creative Change Counseling Center | |
|
200 S Tobin St Ste A Renton WA 98057-5338 | |
| (425) 255-5526 | |
| (425) 255-5523 |
| Full Name | Creative Change Counseling Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 200 S Tobin St Ste A, Renton, Washington |
| Authorized Official Name and Position | Davida Leighton (COUNSELOR) |
| Authorized Official Contact | 4252555526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Change Counseling Center Po Box 4158 Renton WA 98057-4158 Ph: (425) 255-5526 | Creative Change Counseling Center 200 S Tobin St Ste A Renton WA 98057-5338 Ph: (425) 255-5526 |
| NPI Number | 1952716821 |
|---|---|
| Provider Enumeration Date | 06/30/2014 |
| Last Update Date | 06/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952716821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LW00006856 (Washington) | Primary |
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