Organization Name: | SERENITY COUNSELING SERVICES |
NPI Number: | 1174643183 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JO ANN CRISTAL (ADMINISTRATOR) |
Mailing Address: | 5113 Pacific Hwy E Suite3 Fife |
State: | WA US |
Postal Code: | 984242659 |
Phone Number: | 2539220229 |
Fax Number: | 2539264183 |
NPI Enumeration Date: | 03/31/2007 |
NPI Last Update Date: | 07/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |