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Xicotencatl Adrian Ceballos, MSW/CDP
Mental Health Counselor in Kent, Washington
NPI 1093088262

Xicotencatl Adrian Ceballos is a Mental Health Counselor based in Kent, WA and is specialized in Mental Health. Xicotencatl Adrian Ceballos practices in Kent, WA and has the professional credentials of MSW/CDP. The NPI Number for Xicotencatl Adrian Ceballos is 1093088262 and holds a License No. CP 00006028 (Washington).

The current practice location address for Xicotencatl Adrian Ceballos is 1601 W Meeker St, Kent, WA and can be reached out via phone at 206-764-8019 and via fax at 253-480-2937.

Location: 1601 W Meeker St, Kent, WA, 98032-4323
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Provider Profile Details
NPI Number
1093088262
Provider Name
Xicotencatl Adrian Ceballos
Credential
MSW/CDP
Provider Entity Type
Individual
Gender
Male
Address
1601 W Meeker St, Kent, WA, 98032-4323
Phone Number
206-764-8019
Fax Number
253-480-2937
Provider Enumeration Date
02/17/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1601 W Meeker St
City
State
Zip
98032-4323
Phone Number
206-764-8019
Fax Number
253-480-2937
person
Provider Business Mailing Address Details
Address
1601 W Meeker St
City
State
Zip
98032-4323
Phone Number
206-764-8019
Fax Number
253-480-2937
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
SA 60471715 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CP 00006028 (Washington)
Definition
Definition to come...
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