| Northwest Counseling & Diagnostics Llc | |
|
27035 228th Pl Se Maple Valley WA 98038-7945 | |
| (312) 543-4792 | |
| Not Available |
| Full Name | Northwest Counseling & Diagnostics Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 27035 228th Pl Se, Maple Valley, Washington |
| Authorized Official Name and Position | Christian Ryba (GENERAL MANAGER) |
| Authorized Official Contact | 3125434792 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Counseling & Diagnostics Llc 27035 228th Pl Se Maple Valley WA 98038-7945 Ph: (312) 543-4792 | Northwest Counseling & Diagnostics Llc 27035 228th Pl Se Maple Valley WA 98038-7945 Ph: (312) 543-4792 |
| NPI Number | 1043090525 |
|---|---|
| Provider Enumeration Date | 10/03/2023 |
| Last Update Date | 10/03/2023 |
| Certification Date | 10/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043090525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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