Organization
COMMUNITY COUNSELING INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODOLFO MARTINEZ (COUNSELOR)
(253) 759-0852
Entity
Organization
Contact information
Practice address
2502 TACOMA AVE S, TACOMA, WA 98402-1310
(253) 759-0852
Mailing address
2502 TACOMA AVE S, TACOMA, WA 98402-1310
(253) 759-0852
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CO60158298
WA
Other
Enumeration date
03/08/2011
Last updated
03/09/2011
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