Provider Demographics
NPI:1598907651
Name:ALTERNATIVE COUNSELING, INC
Entity Type:Organization
Organization Name:ALTERNATIVE COUNSELING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DWAYNE
Authorized Official - Middle Name:CLARK
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:CDP
Authorized Official - Phone:425-251-1933
Mailing Address - Street 1:19435 68TH AVE S
Mailing Address - Street 2:S-109
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98032
Mailing Address - Country:US
Mailing Address - Phone:425-251-1933
Mailing Address - Fax:425-251-4996
Practice Address - Street 1:19435 68TH AVE S
Practice Address - Street 2:S-109
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-2102
Practice Address - Country:US
Practice Address - Phone:425-251-1933
Practice Address - Fax:425-776-6414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-03
Last Update Date:2015-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X, 261QR0405X
WA17 1225 00251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use DisorderGroup - Single Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
No251S00000XAgenciesCommunity/Behavioral Health