Organization
BACI COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHOUKHAM KELLY BOUNKEUA PHD (DIRECTOR/OWNER)
(206) 345-2640
Entity
Organization
Contact information
Practice address
3707 SMITHERS AVE S, RENTON, WA 98055-6808
(206) 356-2640
(425) 955-9326
Mailing address
3707 SMITHERS AVE S, RENTON, WA 98055-6808
(206) 356-2640
(425) 955-9326
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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