Organization
KLALLAM COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY RAYMOND MCCULLOUGH CDP (ADMINISTRATIVE DIRECTOR)
(360) 452-4432
Entity
Organization
Contact information
Practice address
1026 E 1ST ST STE 2, PORT ANGELES, WA 98362-4020
(360) 452-4432
(360) 452-4599
Mailing address
1026 E 1ST ST STE 2, PORT ANGELES, WA 98362-4020
(360) 452-4432
(360) 452-4599
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/09/2009
Last updated
11/09/2009
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