Creative Change Counseling Center

NPI #1386068617 in Renton, Washington

Provider Information

NPI Number: 1386068617
Entity Type: Organization
Organization Name: Creative Change Counseling Center
Primary Specialty: Counselor
Enumeration Date: Feb 6, 2014
Last Updated: Feb 6, 2014

Practice Location

Address: 200 S TOBIN ST STE A
City: Renton
State: Washington
ZIP Code: 98057-5338
Phone: (425) 255-5526

Authorized Official

Name: KATIE WILSON
Title: ADMIN ASST
Phone: (425) 255-5526

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Counselor	101Y00000X	Primary

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