Individual provider · Type 1 NPI

Viphonsack Mark Kaseumsouk

Counselor · Tacoma, WA

NPI number 1043777675 Active

Practice location

1201 S Proctor St
Tacoma, WA 98405-2047

Call (253) 396-5800 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1043777675

Viphonsack Mark Kaseumsouk's National Provider Identifier is 1043777675, issued on Mar 1, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Tacoma, WA. The record was last updated on Mar 1, 2019.