Provider Demographics
NPI:1194137133
Name:WEEDS TO WISHES COUNSELING & CONSULTING
Entity type:Organization
Organization Name:WEEDS TO WISHES COUNSELING & CONSULTING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:KATHYRN
Authorized Official - Middle Name:KEMP
Authorized Official - Last Name:CHOCIEJ
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:253-653-6217
Mailing Address - Street 1:208 F ST SE
Mailing Address - Street 2:C/O WEEDS TO WISHES COUNSELING & CONSULTING
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98002-5509
Mailing Address - Country:US
Mailing Address - Phone:253-653-6217
Mailing Address - Fax:
Practice Address - Street 1:220 M ST NE
Practice Address - Street 2:C/O WEEDS TO WISHES COUNSELING & CONSULTING
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-4427
Practice Address - Country:US
Practice Address - Phone:253-653-6217
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-26
Last Update Date:2014-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC 60401573101Y00000X, 101YM0800X, 101YP2500X, 101YS0200X, 104100000X, 1041C0700X, 1041S0200X, 106H00000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchoolGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchoolGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty