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COMMUNITY COUNSELING CLINIC, L.L.C.

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Company Details

Legal Name: COMMUNITY COUNSELING CLINIC, L.L.C.
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: February 22nd 2002
Date of Dissolution: June 1st 2015
Expiration date: 28 Feb 2015
UBI Number: 602 184 008

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Registered Agent Information

Name Role Address
OSCAR GONZALEZ Registered Agent 710 EAST F STREET, YAKIMA, WA, 98901, UNITED STATES

Key Officers & Management

Name Role Address
OSCAR GONZALEZ Governing Person 2642 MAIN ST, 2642 MAIN STREET, UNION GAP, WA, 98903, UNITED STATES

National Provider Identifier

NPI Number:
1942337076

Authorized Person:

Name:
MRS. CAROLYN KAY FRIES
Role:
ADMINISTRATOR SR MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
101YA0400X - Addiction (Substance Use Disorder) Counselor
Is Primary:
Yes

Contacts:

Fax:
5094526965
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