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NPI Code Detail

MEDICARE: PENGUIN COUNSELING AND RECOVERY SERVICES

MEDICARE: PENGUIN COUNSELING AND RECOVERY 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
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1366306466
Entity Type Code : Organization
Provider Name (Legal Business Name) : PENGUIN COUNSELING AND RECOVERY SERVICES
Provider Business Mailing Address
First Line : 201 160TH ST S STE 101
Second Line :
City : SPANAWAY
State : WA
Zip : 98387-8508
Country : US
Telephone Number : 253-878-0536
Fax Number : 206-294-9649
Provider Business Practice Location Address
First Line : 201 160TH ST S STE 101
Second Line :
City : SPANAWAY
State : WA
Zip : 98387-8508
Country : US
Telephone Number : 253-878-0536
Fax Number :
Authorized Official
Title or Position : OWNER
Name : PAUL SCARBERRY
Credential : LHMC, SUDP
Telephone Number : 253-878-0536
Provider Enumeration Date : 12/12/2025
Last Update Date : 06/14/2026

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Directions to “PENGUIN COUNSELING AND RECOVERY SERVICES ” Practice Location

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