Organization
CONSEJO COUNSELING AND REFERRAL SERVICE - SOUTH PARK
Active
Organization
CONSEJO COUNSELING AND REFERRAL SERVICE - SOUTH PARK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO PAREDES (EXECUTIVE DIRECTOR)
(206) 461-4880
Entity
Organization
Contact information
Practice address
8615 14TH AVE S, SEATTLE, WA 98108-4806
(206) 461-4880
(206) 762-0489
Mailing address
3808 S ANGELINE ST, SEATTLE, WA 98118-1712
(206) 461-4880
(206) 461-6989
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
600287044
WA
251S00000X
Community/Behavioral Health Agency
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135400
DBHR SITE LICENSE ID
WA
05
—
1992502
—
WA
05
—
1994755
—
WA
05
—
1995208
—
WA
Enumeration date
01/02/2007
Last updated
07/27/2018
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