Organization
KOMO KULSHAN COUNSELING PLLC
Active
Other names
Komo Kulshan Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
LUCILLE C CORREA LICSW (PRESIDENT)
(360) 224-2631
Entity
Organization
Contact information
Practice address
1155 N STATE ST STE 608, BELLINGHAM, WA 98225-5024
(360) 246-1072
(360) 246-1072
Mailing address
7762 CASCADES DR, MAPLE FALLS, WA 98266-7713
(360) 920-4770
(360) 246-1072
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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