| Vera Dragonchuk | |
|
15 S Grady Way Ste 500 Renton WA 98057-3217 | |
| (425) 444-5902 | |
| Not Available |
| Full Name | Vera Dragonchuk |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 15 S Grady Way Ste 500, Renton, Washington |
| Authorized Official Name and Position | Vera P Dragonchuk (OWNER) |
| Authorized Official Contact | 4254445902 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vera Dragonchuk 15 S Grady Way Ste 500 Renton WA 98057-3217 Ph: (425) 444-5902 | Vera Dragonchuk 15 S Grady Way Ste 500 Renton WA 98057-3217 Ph: (425) 444-5902 |
| NPI Number | 1144735911 |
|---|---|
| Provider Enumeration Date | 12/02/2017 |
| Last Update Date | 04/24/2024 |
| Certification Date | 04/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144735911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LH00011247 (Washington) | Primary |
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