| Koinonia Counseling, Pllc | |
|
615 N 2nd St Tacoma WA 98403-2232 | |
| (253) 292-6756 | |
| Not Available |
| Full Name | Koinonia Counseling, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 615 N 2nd St, Tacoma, Washington |
| Authorized Official Name and Position | Kelly Carr (OWNER) |
| Authorized Official Contact | 3602203299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Koinonia Counseling, Pllc 615 N 2nd St Tacoma WA 98403-2232 Ph: (253) 292-6756 | Koinonia Counseling, Pllc 615 N 2nd St Tacoma WA 98403-2232 Ph: (253) 292-6756 |
| NPI Number | 1700335890 |
|---|---|
| Provider Enumeration Date | 09/29/2016 |
| Last Update Date | 09/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700335890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 60667776 (Washington) | Primary |
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