| Annis Counseling & Evaluation Services | |
|
9330 Ne Vancouver Mall Drive Suite 203 Vancouver WA 98662 | |
| (360) 690-6550 | |
| (360) 253-6424 |
| Full Name | Annis Counseling & Evaluation Services |
|---|---|
| Speciality | Social Worker |
| Location | 9330 Ne Vancouver Mall Drive, Vancouver, Washington |
| Authorized Official Name and Position | Inez Kathleen Ray-annis (PRESIDENT) |
| Authorized Official Contact | 3606906550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Annis Counseling & Evaluation Services 9330 Ne Vancouver Mall Drive Suite 203 Vancouver WA 98662 Ph: (360) 690-6550 | Annis Counseling & Evaluation Services 9330 Ne Vancouver Mall Drive Suite 203 Vancouver WA 98662 Ph: (360) 690-6550 |
| NPI Number | 1194003590 |
|---|---|
| Provider Enumeration Date | 08/02/2011 |
| Last Update Date | 07/18/2018 |
| Medicare PECOS PAC ID | 4486827623 |
|---|---|
| Medicare Enrollment ID | O20111102000942 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194003590 | NPI | - | NPPES |
| 2003490 | Medicaid | WA | |
| 1457482440 | Other | WA | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Inez K Ray Annis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457482440 PECOS PAC ID: 6204009442 Enrollment ID: I20111102000944 |
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