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Ruisdael Vallejo Pacheco
Mental Health Counselor in Puyallup, Washington
NPI 1780003616

Ruisdael Vallejo Pacheco is a Mental Health Counselor based in Seattle, WA and is specialized in Mental Health. Ruisdael Vallejo Pacheco practices in Puyallup, WA. The NPI Number for Ruisdael Vallejo Pacheco is 1780003616 and holds a License No. MC60328746 (Washington).

The current practice location address for Ruisdael Vallejo Pacheco is 12812 101St Avenue Ct E, Puyallup, WA and can be reached out via phone at 253-864-4770.

Location: 12812 101St Avenue Ct E, Puyallup, WA, 98124-1703
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780003616
Provider Name
Ruisdael Vallejo Pacheco
Credential
Provider Entity Type
Individual
Gender
Male
Address
12812 101St Avenue Ct E, Puyallup, WA, 98124-1703
Phone Number
253-864-4770
Fax Number
Provider Enumeration Date
04/08/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12812 101St Avenue Ct E
City
Puyallup
State
Washington
Zip
98373-9101
Phone Number
253-864-4770
Fax Number
person
Provider Business Mailing Address Details
Address
12812 101St Avenue Ct E
City
Puyallup
State
Washington
Zip
98373-9101
Phone Number
253-864-4770
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MC60328746 (Washington)
Definition
Definition to come...
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