| Atc | |
|
1807 Cooks Hill Rd Centralia WA 98531 | |
| (253) 999-9079 | |
| (253) 368-0502 |
| Full Name | Atc |
|---|---|
| Speciality | Counselor |
| Location | 1807 Cooks Hill Rd, Centralia, Washington |
| Authorized Official Name and Position | Patricia R Geist (OWNER) |
| Authorized Official Contact | 3606230271 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atc 1807 Cooks Hill Rd Centralia WA 98531 Ph: (253) 999-9079 | Atc 1807 Cooks Hill Rd Centralia WA 98531 Ph: (253) 999-9079 |
| NPI Number | 1205508157 |
|---|---|
| Provider Enumeration Date | 09/29/2021 |
| Last Update Date | 09/13/2022 |
| Certification Date | 09/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205508157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
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