Organization
COMMUNITY COUNSELING INSTITIUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM JAMES PHD (EXECUTIVE DIRECTOR)
(253) 759-0852
Entity
Organization
Contact information
Practice address
2502 TACOMA AVE S, TACOMA, WA 98402-1310
(253) 759-0852
(253) 752-0514
Mailing address
PO BOX 5305, TACOMA, WA 98415-0305
(253) 759-0852
(253) 752-0514
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
27-0908-00
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1995422
—
WA
Enumeration date
06/07/2007
Last updated
08/22/2020
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