| Bainbridge Community Counseling Pllc | |
|
793 Ericksen Ave Ne Suite 123-a Bainbridge Island WA 98110-1876 | |
| (206) 842-4898 | |
| Not Available |
| Full Name | Bainbridge Community Counseling Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 793 Ericksen Ave Ne, Bainbridge Island, Washington |
| Authorized Official Name and Position | Marjorie Rubin (OWNER/PRESIDENT) |
| Authorized Official Contact | 2068424898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bainbridge Community Counseling Pllc Po Box 10064 Bainbridge Island WA 98110-0064 Ph: (206) 842-4898 | Bainbridge Community Counseling Pllc 793 Ericksen Ave Ne Suite 123-a Bainbridge Island WA 98110-1876 Ph: (206) 842-4898 |
| NPI Number | 1619329356 |
|---|---|
| Provider Enumeration Date | 07/06/2016 |
| Last Update Date | 07/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619329356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LH60581536 (Washington) | Secondary |
| 106H00000X | Marriage & Family Therapist | LH60581536 (Washington) | Primary |
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