Provider Demographics
NPI:1528555380
Name:PASCUAL, PHILIP-JUSTUS FRANCISCO
Entity Type:Individual
Prefix:
First Name:PHILIP-JUSTUS
Middle Name:FRANCISCO
Last Name:PASCUAL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 2ND AVE W APT 102
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98119-3977
Mailing Address - Country:US
Mailing Address - Phone:206-603-2902
Mailing Address - Fax:
Practice Address - Street 1:520 2ND AVE W APT 102
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98119-3977
Practice Address - Country:US
Practice Address - Phone:206-603-2902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-17
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health