Organization
NORTHWEST COUNSELING & DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN RYBA (GENERAL MANAGER)
(312) 543-4792
Entity
Organization
Contact information
Practice address
27035 228TH PL SE, MAPLE VALLEY, WA 98038-7945
(312) 543-4792
Mailing address
27035 228TH PL SE, MAPLE VALLEY, WA 98038-7945
(312) 543-4792
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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