Community Counseling Clinic Llc in Union Gap - Addiction (substance Use Disorder)
Community Counseling Clinic Llc - NPI 1942337076
Community Counseling Clinic Llc is a Addiction (substance Use Disorder) in Union Gap, Washington. Community Counseling Clinic Llc practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Community Counseling Clinic Llc is 1942337076. The last update date is 2020-08-22.
Community Counseling Clinic Llc's current location address is Po Box 3036, Union Gap, Washington. You can contact this provider via phone number 5094526546 and fax number 5094526965. The mailing address for Community Counseling Clinic Llc is Po Box 3036, Union Gap, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Community Counseling Clinic Llc |
|---|---|
| Address | Po Box 3036, Union Gap, Washington |
| Phone Number | 5094526546 |
| Fax Number | 5094526965 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Fries Kay Carolyn |
| Telephone Number | 5094526546 |
NPI Number Detail
| NPI Number | 1942337076 |
|---|---|
| Provider Enumeration Date | 2007-02-27 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 3036 |
|---|---|
| City | Union Gap |
| State | Washington (WA) |
| Post Code | 989030036 |
| Phone Number | 5094526546 |
| Fax Number | 5094526965 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7500CO | WA | REGENCE BLUE SHIELD | |
| CP00002903 | WA | DARRELL G FRIES CDP | |
| A7570 | WA | PREMERA BLUE CROSS | |
| 1995448 | WA | -- |
Post Comment/ Review Below
What is the Community Counseling Clinic Llc's 1942337076?
The Community Counseling Clinic Llc's NPI (National Provider Identifier) Number is 1942337076. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Community Counseling Clinic Llc is physically located?
The Community Counseling Clinic Llc is situated at the following address: Po Box 3036, Union Gap, WA 989030036.
What is Community Counseling Clinic Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Community Counseling Clinic Llc is Addiction (substance Use Disorder), and the taxonomy code that categorizes this field of expertise is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1942337076 to Community Counseling Clinic Llc?
The Centers for Medicare & Medicaid Services assigned the 1942337076 to Community Counseling Clinic Llc on 2007-02-27.
As of what date were the details pertaining to Community Counseling Clinic Llc last refreshed?
The information related to the Community Counseling Clinic Llc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.