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Organization

PACIFIC COUNSELING CLINIC, INC.

Active
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Organization

PACIFIC COUNSELING CLINIC, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CHRISTINA M KNUDSON (OFFICE MANAGER)
(360) 307-8700
Entity
Organization

Contact information

Practice address
10049 KITSAP MALL BLVD NW, STE. 203, SILVERDALE, WA 98383-8903
(360) 307-8700
(360) 692-6458
Mailing address
10049 KITSAP MALL BLVD NW, STE. 203, SILVERDALE, WA 98383-8903
(360) 307-8700
(360) 692-6458

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LW00005406
WA
1041C0700X
Clinical Social Worker
Primary
LW00008740
WA
106H00000X
Marriage & Family Therapist
LF00001317
WA

Other

Enumeration date
10/13/2006
Last updated
03/16/2009
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