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NPI Code Detail

MEDICARE: VALLEY CITIES COUNSELING AND CONSULTATION

MEDICARE: VALLEY CITIES COUNSELING AND CONSULTATION
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
1320800000XMental Illness Community Based Residential Treatment Facility
2324500000XSubstance Abuse Rehabilitation Facility
3261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
4261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
5251S00000XCommunity/Behavioral Health Agency044WA

General Provider Information

NPI Number : 1972668853
Entity Type Code : Organization
Provider Name (Legal Business Name) : VALLEY CITIES COUNSELING AND CONSULTATION
Provider Business Mailing Address
First Line : 325 W GOWE ST
Second Line :
City : KENT
State : WA
Zip : 98032-5892
Country : US
Telephone Number : 253-833-4444
Fax Number :
Provider Business Practice Location Address
First Line : 325 W GOWE ST
Second Line :
City : KENT
State : WA
Zip : 98032-5892
Country : US
Telephone Number : 206-408-5382
Fax Number :
Authorized Official
Title or Position : INTERIM CEO
Name : SHEKH ALI
Credential :
Telephone Number : 253-833-7444
Provider Enumeration Date : 12/22/2006
Last Update Date : 02/18/2021

Similar Medicare Providers

1487765442 — LESTER PITTLE MD
Practice Location Address:
325 W GOWE ST
KENT, WA
98032-5892
Practice Phone: 253-833-7444
Practice Fax:
1891857181 — MOLLY MICHELLE DAVENPORT ARNP
Practice Location Address:
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98032-5892
Practice Phone: 253-777-7777
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1578602777 — MARY ELLEN HARGRAVE M.D.
Practice Location Address:
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Practice Phone: 253-833-7444
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1346468964 — CHARLES A FANUCCHI LSW
Practice Location Address:
325 W GOWE ST
KENT, WA
98032-5892
Practice Phone: 253-520-9350
Practice Fax: 253-735-4111
1093936759 — PETER M WEISS LMHC
Practice Location Address:
325 W GOWE ST
KENT, WA
98032-5892
Practice Phone: 253-520-9350
Practice Fax: 253-735-4111
1942421680 — JENNIFER LOUISE STREIT LMHC
Practice Location Address:
325 W GOWE ST
KENT, WA
98032-5892
Practice Phone: 253-520-9350
Practice Fax: 253-735-4111

Directions to “VALLEY CITIES COUNSELING AND CONSULTATION ” Practice Location

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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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