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General NPI Number Information
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NPI Number | 1679750921
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE COUNSELING SERVICES
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Dates
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Enumeration Date | 01/29/2008
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Last Update Date | 06/03/2013
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Provider Practice Location Address
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Address Line | 701 N 36TH ST SUITE 300
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City | SEATTLE
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State | WA
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Zip | 98103-8868
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Country | US
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Telephone | 206-216-5000
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Fax | 206-216-5002
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Provider Business Mailing Address
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Address Line | 3518 FREMONT AVE N SUITE 258
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City | SEATTLE
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State | WA
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Zip | 98103-8814
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Country | US
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Telephone | 206-216-5000
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Fax | 206-216-5002
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. SCOTT E REDING
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Credential | MA, CDP, LMHC
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Telephone | 206-216-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 17136000
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License Number State | WA
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