Provider Demographics
NPI:1780939306
Name:4 DIRECTIONS COUNSELING & CONSULTING LLC
Entity type:Organization
Organization Name:4 DIRECTIONS COUNSELING & CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:F
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, CDP
Authorized Official - Phone:360-681-2467
Mailing Address - Street 1:342 W WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:SEQUIM
Mailing Address - State:WA
Mailing Address - Zip Code:98382-3340
Mailing Address - Country:US
Mailing Address - Phone:360-681-2467
Mailing Address - Fax:360-683-2245
Practice Address - Street 1:342 W WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:SEQUIM
Practice Address - State:WA
Practice Address - Zip Code:98382-3340
Practice Address - Country:US
Practice Address - Phone:360-681-2467
Practice Address - Fax:360-683-2245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-19
Last Update Date:2012-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP00001084251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health