| Blue Water Behavioral Consulting Llc | |
|
851 Se Pioneer Way 201 Oak Harbor WA 98277 | |
| (360) 333-5684 | |
| (360) 230-3272 |
| Full Name | Blue Water Behavioral Consulting Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 851 Se Pioneer Way, Oak Harbor, Washington |
| Authorized Official Name and Position | Rachel Danielle Wagner (CEO) |
| Authorized Official Contact | 3603335684 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Water Behavioral Consulting Llc 1777 S. Burlington Blvd #465 Burlington WA 98233 Ph: (360) 333-5684 | Blue Water Behavioral Consulting Llc 851 Se Pioneer Way 201 Oak Harbor WA 98277 Ph: (360) 333-5684 |
| NPI Number | 1811311517 |
|---|---|
| Provider Enumeration Date | 02/16/2014 |
| Last Update Date | 07/30/2020 |
| Certification Date | 07/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811311517 | NPI | - | NPPES |
| 2041449 | Medicaid | WA |
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