Provider Demographics
NPI:1396841466
Name:ONCKEN COUNSELING SERVICES
Entity Type:Organization
Organization Name:ONCKEN COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:R
Authorized Official - Last Name:ONCKEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, RC
Authorized Official - Phone:425-771-1914
Mailing Address - Street 1:4215 198TH ST SW
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-6738
Mailing Address - Country:US
Mailing Address - Phone:425-771-1914
Mailing Address - Fax:425-771-0127
Practice Address - Street 1:4215 198TH ST SW
Practice Address - Street 2:SUITE 102
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-6738
Practice Address - Country:US
Practice Address - Phone:425-771-1914
Practice Address - Fax:425-771-0127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC00017576101Y00000X
WALF00000836106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7787369OtherAETNA