Kllallam Couseling Services

LBN: Kllallam Couseling Services
Kllallam Couseling Services is an health care organization with primary practice located at 1026 East Front St. #2, Port Angeles WA 98362. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. Kllallam Couseling Services can be contacted via phone (360) 452-4432, or through Collins, Kevin D via phone (360) 452-4432.

Contact Information

Primary practice address
1026 East Front St. #2 Port Angeles WA 98362
Phone: (360) 452-4432
Fax: (360) 452-4599
Website:
Map and Directions
Authorized official contact:
Name: Collins, Kevin D CB00017145
Phone: (360) 452-4432

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X CP00004528 Washington

Profile Details

NPI number 1396012530
LBN Legal business name Kllallam Couseling Services
DBA Doing business as
Authorized official Collins, Kevin D CB00017145
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2011
Last updated Nov 16th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396012530 NPPES
Washington MEDICAID CP00004528

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