Organization
AL'TA COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMY MATHESON WEKELL CDP, SAP (ADMINISTRATOR)
(253) 473-7586
Entity
Organization
Contact information
Practice address
702 BROADWAY, SUITE 102, TACOMA, WA 98402-3735
(253) 473-7586
(253) 590-0211
Mailing address
702 BROADWAY, SUITE 102, TACOMA, WA 98402-3735
(253) 473-7586
(253) 590-0211
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
27 1451 00
WA
Other
Enumeration date
08/11/2010
Last updated
08/11/2010
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