Provider Demographics
NPI:1447454624
Name:CEDAR PARK COUNSELING NETWORK
Entity type:Organization
Organization Name:CEDAR PARK COUNSELING NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:RIGHTENOUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-939-1490
Mailing Address - Street 1:18737 68TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:WA
Mailing Address - Zip Code:98028-2606
Mailing Address - Country:US
Mailing Address - Phone:425-939-1490
Mailing Address - Fax:425-485-8369
Practice Address - Street 1:18737 68TH AVE NE
Practice Address - Street 2:
Practice Address - City:KENMORE
Practice Address - State:WA
Practice Address - Zip Code:98028-2606
Practice Address - Country:US
Practice Address - Phone:425-939-1490
Practice Address - Fax:425-485-8369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA205101YM0800X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty