Organization
PIONEER COUNSELING TACOMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RENAE GRIMES (RECEPTIONIST)
(253) 274-0484
Entity
Organization
Contact information
Practice address
758 ST. HELENS, TACOMA, WA 98405
(253) 274-0484
(253) 274-1457
Mailing address
758 ST. HELENS, TACOMA, WA 98405
(253) 274-0484
(253) 274-1457
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
578077922
WA
Other
Enumeration date
02/08/2016
Last updated
03/10/2016
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