Organization
A NEW BEGINNING FAMILY & TRAUMA COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT EDWARD CERKA MA (OWNER)
(206) 693-1888
Entity
Organization
Contact information
Practice address
14705 MERIDIAN E, PUYALLUP, WA 98375
(206) 693-1888
(253) 446-7458
Mailing address
14705 MERIDIAN E, PUYALLUP, WA 98375-6626
(253) 583-6549
(253) 446-7458
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
60628193
WA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
60628193
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2086195
—
WA
Enumeration date
10/16/2017
Last updated
06/18/2018
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