Affinity Counseling Pllc | |
9825 Sandifur Pkwy Ste D Pasco WA 99301-6738 | |
(509) 737-1492 | |
Not Available |
Full Name | Affinity Counseling Pllc |
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Speciality | Social Worker |
Location | 9825 Sandifur Pkwy Ste D, Pasco, Washington |
Authorized Official Name and Position | Candice Berger (OWNER) |
Authorized Official Contact | 5097920398 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Affinity Counseling Pllc 4605 Atlanta Ln Pasco WA 99301-9636 Ph: () - | Affinity Counseling Pllc 9825 Sandifur Pkwy Ste D Pasco WA 99301-6738 Ph: (509) 737-1492 |
NPI Number | 1871066860 |
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Provider Enumeration Date | 01/02/2019 |
Last Update Date | 01/02/2019 |
Medicare PECOS PAC ID | 4082942685 |
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Medicare Enrollment ID | O20190820004020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871066860 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Candice M Todd |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1073999488 PECOS PAC ID: 8527396126 Enrollment ID: I20190820004099 |
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