Individual provider · Type 1 NPI

Ruisdael Vallejo Pacheco

Mental Health Counselor · Puyallup, WA

NPI number 1780003616 Active

Practice location

12812 101st Avenue Ct E, Suite 202
Puyallup, WA 98373-9101

Call (253) 864-4770 Map

Mailing address

PO Box 34703
Seattle, WA 98124-1703

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMC60328746 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1780003616

Ruisdael Vallejo Pacheco's National Provider Identifier is 1780003616, issued on Apr 8, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Puyallup, WA. The record was last updated on Apr 8, 2014.