Awaken Counseling | |
4602 Ne 59th Ave Vancouver WA 98661-2957 | |
(503) 410-3048 | |
Not Available |
Full Name | Awaken Counseling |
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Speciality | Counselor |
Location | 4602 Ne 59th Ave, Vancouver, Washington |
Authorized Official Name and Position | Rochelle Schwartz (OWNER/THERAPIST) |
Authorized Official Contact | 5034103048 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Awaken Counseling 2114 Main St Ste 100-197 Vancouver WA 98660-2674 Ph: (503) 410-3048 | Awaken Counseling 4602 Ne 59th Ave Vancouver WA 98661-2957 Ph: (503) 410-3048 |
NPI Number | 1003523820 |
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Provider Enumeration Date | 11/01/2022 |
Last Update Date | 11/04/2024 |
Certification Date | 11/04/2024 |
Medicare PECOS PAC ID | 6800320698 |
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Medicare Enrollment ID | O20241115003121 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003523820 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Rochelle Schwartz |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1639566292 PECOS PAC ID: 7618401407 Enrollment ID: I20241115003215 |
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