Organization
COMMUNITY LIFE COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL VILLARIVERA LMHC (CLINICAL DIRECTOR)
(253) 301-8140
Entity
Organization
Contact information
Practice address
612 113TH ST S, TACOMA, WA 98444-4902
(253) 301-8140
Mailing address
4815 51ST AVENUE CT W, UNIVERSITY PLACE, WA 98467-4827
(253) 301-8140
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/05/2021
Last updated
09/24/2025
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