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Organization

NORTHWEST CREDIBLE MESSENGERS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JASON J CLARK (EXECUTIVE DIRECTOR)
(206) 261-2410
Entity
Organization

Contact information

Practice address
500 S 336TH ST STE 102, FEDERAL WAY, WA 98003-6389
(206) 261-2410
Mailing address
3812 LANYARD DR NE, LACEY, WA 98516-1333
(206) 261-2410

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
175T00000X
Peer Specialist
Primary
251S00000X
Community/Behavioral Health Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
261QM1300X
Multi-Specialty Clinic/Center

Other

Enumeration date
08/18/2022
Last updated
08/18/2022
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