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1568529543

NPI Code Detail

MEDICARE: CONSEJO COUNSELING AND REFERRAL SERVICES

MEDICARE: CONSEJO COUNSELING AND REFERRAL SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	600287044	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0217936	OTHER	WA	L&I GROUP 82
2	24	OTHER	WA	WA STATE AGANCY
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	411	OTHER	WA	KC RSN
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568529543
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONSEJO COUNSELING AND REFERRAL SERVICES

Provider Business Mailing Address
First Line	:	3808 S ANGELINE ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98118-1712
Country	:	US
Telephone Number	:	206-461-4880
Fax Number	:	206-461-6989

Provider Business Practice Location Address
First Line	:	3808 S ANGELINE ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98118-1712
Country	:	US
Telephone Number	:	206-461-4880
Fax Number	:	206-461-6989

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. MARIO PAREDES
Credential	:
Telephone Number	:	206-802-1933

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	08/08/2008

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Directions to “CONSEJO COUNSELING AND REFERRAL SERVICES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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