Healthcare Provider Details

I. General information

NPI: 1609579135
Provider Name (Legal Business Name): WASHINGTON COUNSELING AND CONSULTING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2023
Last Update Date: 03/23/2023
Certification Date: 03/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 BORST AVE NE
NORTH BEND WA
98045-9433
US

IV. Provider business mailing address

601 BORST AVE NE
NORTH BEND WA
98045-9433
US

V. Phone/Fax

Practice location:
  • Phone: 425-395-4704
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MELANIE DENBOER
Title or Position: THERAPIST, SUPERVISOR
Credential: LMFT, CMHS
Phone: 425-577-3828