institution
Community Counseling Clinic Llc
Addiction (Substance Use Disorder) Counselor in Union Gap, Washington
NPI 1942337076

Community Counseling Clinic Llc is an Addiction (Substance Use Disorder) Counselor based in Union Gap, WA and is specialized in Addiction (Substance Use Disorder). Community Counseling Clinic Llc practices in Union Gap, WA. The NPI Number for Community Counseling Clinic Llc is 1942337076 and holds a License No. (Washington).

The current practice location address for Community Counseling Clinic Llc is 2642 Main St, Union Gap, WA and can be reached out via phone at 509-452-6546 and via fax at 509-452-6965.

Location: 2642 Main St, Union Gap, WA, 98903-0036
institution
Provider Profile Details
NPI Number
1942337076
Provider Name
Community Counseling Clinic Llc
Credential
Provider Entity Type
Organization
Address
2642 Main St, Union Gap, WA, 98903-0036
Phone Number
509-452-6546
Fax Number
509-452-6965
Provider Enumeration Date
02/27/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7500CO 01 WA REGENCE BLUE SHIELD
CP00002903 01 WA DARRELL G FRIES CDP
A7570 01 WA PREMERA BLUE CROSS
1995448 05 WA
institution
Provider Business Practice Location Address Details
Address
2642 Main St
City
State
Zip
98903-1752
Phone Number
509-452-6546
Fax Number
509-452-6965
person
Provider Business Mailing Address Details
Address
2642 Main St
City
State
Zip
98903-1752
Phone Number
509-452-6546
Fax Number
509-452-6965
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(Washington)
Definition
Definition to come...
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