Provider Demographics
NPI:1780493502
Name:KUWAYE COUNSELING
Entity type:Organization
Organization Name:KUWAYE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR/OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KEONI
Authorized Official - Middle Name:YUTAKA
Authorized Official - Last Name:DANIELSON KUWAYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-409-6377
Mailing Address - Street 1:42010 MARKS RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SWEET HOME
Mailing Address - State:OR
Mailing Address - Zip Code:97386-9545
Mailing Address - Country:US
Mailing Address - Phone:541-409-6377
Mailing Address - Fax:
Practice Address - Street 1:42010 MARKS RIDGE DR
Practice Address - Street 2:
Practice Address - City:SWEET HOME
Practice Address - State:OR
Practice Address - Zip Code:97386-9545
Practice Address - Country:US
Practice Address - Phone:541-409-6377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health