Community Counseling Clinic LLC
NPI #1942337076 in Union Gap, Washington
Provider Information
- NPI Number
- 1942337076
- Entity Type
- Organization
- Organization Name
- Community Counseling Clinic LLC
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Feb 27, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2642 MAIN ST
- City
- Union Gap
- State
- Washington
- ZIP Code
- 98903-1752
- Phone
- (509) 452-6546
Authorized Official
- Name
- MRS. CAROLYN KAY FRIES
- Title
- ADMINISTRATOR SR MEMBER
- Phone
- (509) 452-6546
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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