Life Course Counseling | |
24437 Russell Rd Ste 230 Kent WA 98032-4950 | |
(206) 816-2706 | |
(253) 236-4107 |
Full Name | Life Course Counseling |
---|---|
Speciality | Counselor - Mental Health |
Location | 24437 Russell Rd Ste 230, Kent, Washington |
Authorized Official Name and Position | Adair Louise Hasty-vannoy (OWNER/ DIRECTOR) |
Authorized Official Contact | 2068162706 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Life Course Counseling Po Box 59284 Renton WA 98058-2284 Ph: (206) 816-2706 | Life Course Counseling 24437 Russell Rd Ste 230 Kent WA 98032-4950 Ph: (206) 816-2706 |
NPI Number | 1003206020 |
---|---|
Provider Enumeration Date | 01/29/2015 |
Last Update Date | 07/27/2020 |
Certification Date | 07/27/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003206020 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 603 152 746 (Washington) | Primary |
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