Provider Demographics
NPI:1205652237
Name:WILLIAM M VESNESKI
Entity type:Organization
Organization Name:WILLIAM M VESNESKI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:VESNESKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-308-1314
Mailing Address - Street 1:5057 37TH AVE S UNIT B
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-1903
Mailing Address - Country:US
Mailing Address - Phone:503-308-1314
Mailing Address - Fax:
Practice Address - Street 1:5057 37TH AVE S UNIT B
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118-1903
Practice Address - Country:US
Practice Address - Phone:503-308-1314
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty