Bellingham Therapeutic Counseling | |
3127 Alderwood Ave Bellingham WA 98225-1017 | |
(360) 536-1565 | |
Not Available |
Full Name | Bellingham Therapeutic Counseling |
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Speciality | Social Worker |
Location | 3127 Alderwood Ave, Bellingham, Washington |
Authorized Official Name and Position | Debra Jean Shawver (OWNER/THERAPIST) |
Authorized Official Contact | 3605361565 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bellingham Therapeutic Counseling 3127 Alderwood Ave Bellingham WA 98225-1017 Ph: (360) 536-1565 | Bellingham Therapeutic Counseling 3127 Alderwood Ave Bellingham WA 98225-1017 Ph: (360) 536-1565 |
NPI Number | 1447631114 |
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Provider Enumeration Date | 06/17/2015 |
Last Update Date | 11/16/2022 |
Certification Date | 11/16/2022 |
Medicare PECOS PAC ID | 7214245067 |
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Medicare Enrollment ID | O20150929001151 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447631114 | NPI | - | NPPES |
1092853 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
251S00000X | Community/behavioral Health | LW00008500 (Washington) | Secondary |
Provider Name | Debra J Shawver |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1801978747 PECOS PAC ID: 3870697998 Enrollment ID: I20070329000568 |
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