Organization
CONSEJO COUNSELING AND REFERRAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANA BOSCHMA (IS DIRECTOR)
(206) 461-4880
Entity
Organization
Contact information
Practice address
5915 ORCHARD ST W, TACOMA, WA 98467-3824
(206) 461-4880
(206) 461-6989
Mailing address
723 SW 10TH ST, RENTON, WA 98057-5223
(206) 461-4880
(206) 461-6989
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
037
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
037
WA
104100000X
Social Worker
037
WA
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
037
WA
Other
Enumeration date
06/11/2010
Last updated
06/05/2024
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