Organization
COUNSELING SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEN NICHOLS-HOPPE PH.D. (PRESIDENT)
(425) 774-5777
Entity
Organization
Contact information
Practice address
7500 212TH ST SW, SUITE 204, EDMONDS, WA 98026-7641
(425) 774-5777
Mailing address
7500 212TH ST SW, SUITE 204, EDMONDS, WA 98026-7641
(425) 774-5777
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSYCH0001028
WA
103TC0700X
Clinical Psychologist
Primary
PSYCH0001028
WA
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
AP30001487
WA
Other
Enumeration date
11/02/2007
Last updated
11/02/2007
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