MR. JORGE LUIS PACHECO CO 61015379 NPI 1205471935

NPI Information

NPI: 1205471935
Provider Name: MR. JORGE LUIS PACHECO, CO 61015379
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
315 N 2ND ST
YAKIMA, WA
ZIP 98901
Phone: (509) 469-9366
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MR. Jorge Luis Pacheco, CO 61015379 is an addiction (substance use disorder) counselor in Yakima, WA. MR. Jorge Luis Pacheco, CO 61015379 NPI is 1205471935. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

315 N 2ND ST
YAKIMA, WA
ZIP 98901-334
Phone: (509) 469-9366

The enumeration date for this NPI number is 11/18/2019 and was last updated on 11/18/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CO61015379	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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