Provider Demographics
NPI:1023301447
Name:ABATE ABUSE COUNSELING
Entity type:Organization
Organization Name:ABATE ABUSE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTNY
Authorized Official - Middle Name:
Authorized Official - Last Name:MATTHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:125-393-9243
Mailing Address - Street 1:10312 120TH ST E
Mailing Address - Street 2:SUITE 3
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98374-2100
Mailing Address - Country:US
Mailing Address - Phone:125-384-8688
Mailing Address - Fax:125-660-4031
Practice Address - Street 1:10312 120TH ST E
Practice Address - Street 2:SUITE 3
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98374-2100
Practice Address - Country:US
Practice Address - Phone:125-384-8688
Practice Address - Fax:125-660-4031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-18
Last Update Date:2011-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA603106060251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health