| Eric Cuestas-thompson, Lcsw, Lisac | |
|
748 Market St Ste 80 Tacoma WA 98402-3737 | |
| (253) 348-2242 | |
| (253) 697-9938 |
| Full Name | Eric Cuestas-thompson, Lcsw, Lisac |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 748 Market St Ste 80, Tacoma, Washington |
| Authorized Official Name and Position | Eric Thomas Cuestas-thompson (THERAPIST) |
| Authorized Official Contact | 2533482242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Cuestas-thompson, Lcsw, Lisac 1019 29th Street Pl Nw Puyallup WA 98371-3519 Ph: (253) 348-2242 | Eric Cuestas-thompson, Lcsw, Lisac 748 Market St Ste 80 Tacoma WA 98402-3737 Ph: (253) 348-2242 |
| NPI Number | 1134491293 |
|---|---|
| Provider Enumeration Date | 02/06/2012 |
| Last Update Date | 09/30/2022 |
| Certification Date | 09/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134491293 | NPI | - | NPPES |
| 2044698 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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