| Wiebe 1 Enterprises Llc | |
|
3303 8th Ave Se Puyallup WA 98372-4045 | |
| (253) 861-1662 | |
| Not Available |
| Full Name | Wiebe 1 Enterprises Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3303 8th Ave Se, Puyallup, Washington |
| Authorized Official Name and Position | Robyn Wiebe (MEMBER) |
| Authorized Official Contact | 2538611662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wiebe 1 Enterprises Llc 16405 53rd Pl S Tukwila WA 98188-3200 Ph: (253) 861-1662 | Wiebe 1 Enterprises Llc 3303 8th Ave Se Puyallup WA 98372-4045 Ph: (253) 861-1662 |
| NPI Number | 1477392652 |
|---|---|
| Provider Enumeration Date | 05/20/2024 |
| Last Update Date | 05/20/2024 |
| Certification Date | 05/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477392652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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