| Valley Counseling Services, Llc | |
|
4311 Umptanum Rd Ellensburg WA 98926-8749 | |
| (509) 899-9116 | |
| Not Available |
| Full Name | Valley Counseling Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4311 Umptanum Rd, Ellensburg, Washington |
| Authorized Official Name and Position | Ryder Defranco (OWNER) |
| Authorized Official Contact | 5098999116 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Counseling Services, Llc 4311 Umptanum Rd Ellensburg WA 98926-8749 Ph: () - | Valley Counseling Services, Llc 4311 Umptanum Rd Ellensburg WA 98926-8749 Ph: (509) 899-9116 |
| NPI Number | 1275099921 |
|---|---|
| Provider Enumeration Date | 02/19/2019 |
| Last Update Date | 02/19/2019 |
| Medicare PECOS PAC ID | 1658614326 |
|---|---|
| Medicare Enrollment ID | O20190521000407 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275099921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ryder Defranco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265823025 PECOS PAC ID: 3476896143 Enrollment ID: I20190521000472 |
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