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Organization
NEW LIFE COUNSELING SERVICES PLLC
Active
Organization
NEW LIFE COUNSELING SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE MELANIE KOCH MA, LMHCA,,MHP (CEO)
(253) 269-0224
Entity
Organization
Contact information
Practice address
514 STATE AVE STE 107, MARYSVILLE, WA 98270-4556
(253) 269-0224
Mailing address
514 STATE AVE STE 107, MARYSVILLE, WA 98270-4556
(253) 269-0224
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP00001646
WA
101YM0800X
Mental Health Counselor
Primary
MC60502604
WA
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2039243
—
WA
Enumeration date
01/25/2016
Last updated
05/28/2019
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