| Consejo Counseling And Referral Service - Shelton | |
|
627 W Franklin St Shelton WA 98584-3504 | |
| (360) 763-5610 | |
| (360) 462-0449 |
| Full Name | Consejo Counseling And Referral Service - Shelton |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 627 W Franklin St, Shelton, Washington |
| Authorized Official Name and Position | Shana Boschma (IS DIRECTOR) |
| Authorized Official Contact | 2064614880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Consejo Counseling And Referral Service - Shelton 3808 S Angeline St Seattle WA 98118-1712 Ph: (206) 461-4880 | Consejo Counseling And Referral Service - Shelton 627 W Franklin St Shelton WA 98584-3504 Ph: (360) 763-5610 |
| NPI Number | 1184101966 |
|---|---|
| Provider Enumeration Date | 07/24/2018 |
| Last Update Date | 03/23/2022 |
| Certification Date | 03/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184101966 | NPI | - | NPPES |
| 200488 | Other | WA | DBHR SITE LICENSE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Washington) | Primary |
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