| Northwest Counsel | |
|
5620 112th St E Ste. 215 Puyallup WA 98373-3206 | |
| (253) 446-7176 | |
| (253) 446-7176 |
| Full Name | Northwest Counsel |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5620 112th St E, Puyallup, Washington |
| Authorized Official Name and Position | Bryce Wilson (OWNER) |
| Authorized Official Contact | 2534467176 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Counsel 5620 112th St E Ste. 215 Puyallup WA 98373-3206 Ph: (253) 446-7176 | Northwest Counsel 5620 112th St E Ste. 215 Puyallup WA 98373-3206 Ph: (253) 446-7176 |
| NPI Number | 1154770329 |
|---|---|
| Provider Enumeration Date | 06/08/2016 |
| Last Update Date | 06/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154770329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LH00010388 (Washington) | Primary |
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