Ceballos, Xicotencatl Adrian

Ceballos, Xicotencatl Adrian is an individual health care provider with primary practice located at 1601 W Meeker St Suite 201, Kent WA 98032-4323. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Ceballos, Xicotencatl Adrian can be contacted via phone (206) 764-8019.

Contact Information

Primary practice address
1601 W Meeker St Suite 201 Kent WA 98032-4323
Phone: (206) 764-8019
Fax: (253) 480-2937
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CP 00006028 Washington
Behavioral Health & Social Service Providers / Mental Health 101YM0800X SA 60471715 Washington

Profile Details

NPI number 1093088262
LBN Legal business name Ceballos, Xicotencatl Adrian
Credentials MSW/CDP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2012
Last updated Jul 7th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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