Soko Gusic, MD
Individual provider Active NPI Mental Health Counselor · Pasco, CA
NPI 1073672978 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1073672978
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- RC00029930 (WA)
- Practice address
- 720 W Court St #8
Pasco, CA 99301 - Phone
- (509) 545-6506
- Fax
- (509) 546-0520
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RC00029930 | WA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | RC00029930 | WA | Yes |
Addresses
Primary practice location
720 W Court St #8
Pasco, CA 99301
Mailing address
PO Box 1323
515 West Court St
Pasco, CA 99301
Phone (509) 547-2204
Other providers in Pasco, CA
All providers in Pasco, CA · Mental Health Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.