Organization
CONSEJO COUNSELING AND REFERRAL SERVICE - KENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO PAREDES (EXECUTIVE DIRECTOR)
(206) 461-4880
Entity
Organization
Contact information
Practice address
515 W HARRISON ST STE 109, KENT, WA 98032-4403
(253) 856-9000
(253) 520-6647
Mailing address
3808 S ANGELINE ST, SEATTLE, WA 98118-1712
(206) 461-4880
(206) 461-6989
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149500
DBHR SITE LICENSE ID
WA
Enumeration date
06/15/2011
Last updated
07/27/2018
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