Provider Demographics
NPI:1376275305
Name:SUNRISE COUNSELING AND COUNSELING AND CONSULTING
Entity Type:Organization
Organization Name:SUNRISE COUNSELING AND COUNSELING AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:GRICELDA
Authorized Official - Last Name:CHACON
Authorized Official - Suffix:
Authorized Official - Credentials:DBH, LICSW
Authorized Official - Phone:509-830-1745
Mailing Address - Street 1:300 S 7TH ST
Mailing Address - Street 2:
Mailing Address - City:SUNNYSIDE
Mailing Address - State:WA
Mailing Address - Zip Code:98944-1503
Mailing Address - Country:US
Mailing Address - Phone:509-818-3337
Mailing Address - Fax:
Practice Address - Street 1:300 S 7TH ST
Practice Address - Street 2:
Practice Address - City:SUNNYSIDE
Practice Address - State:WA
Practice Address - Zip Code:98944-1503
Practice Address - Country:US
Practice Address - Phone:509-818-3337
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-28
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty