| Drago Tree Counseling, Llc | |
|
1633 Sw Kelly Ave Chehalis WA 98532-3822 | |
| (360) 524-1469 | |
| Not Available |
| Full Name | Drago Tree Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1633 Sw Kelly Ave, Chehalis, Washington |
| Authorized Official Name and Position | Ruyman D Hernandez (OWNER) |
| Authorized Official Contact | 3605241469 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Drago Tree Counseling, Llc Po Box 903 Chehalis WA 98532-0903 Ph: (360) 524-1469 | Drago Tree Counseling, Llc 1633 Sw Kelly Ave Chehalis WA 98532-3822 Ph: (360) 524-1469 |
| NPI Number | 1629759451 |
|---|---|
| Provider Enumeration Date | 07/25/2023 |
| Last Update Date | 06/10/2024 |
| Certification Date | 06/10/2024 |
| Medicare PECOS PAC ID | 5395189328 |
|---|---|
| Medicare Enrollment ID | O20240219001104 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629759451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Ruyman David Hernandez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811650930 PECOS PAC ID: 2961858345 Enrollment ID: I20240828002786 |
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