Organization
SEA - MAR COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL BRIANNA WOODLAND (CREDENTIALING ASSISTANT)
(253) 681-6601
Entity
Organization
Contact information
Practice address
735 12TH ST SE FL 1, AUBURN, WA 98002-6709
(253) 681-6600
(253) 681-6641
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(253) 681-6601
(253) 681-6641
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YS0200X
School Counselor
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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