Cantrell Counseling Incorporated | |
1050 Larrabee Ave Ste 104 Bellingham WA 98225-7367 | |
(360) 714-1525 | |
(360) 935-2288 |
Full Name | Cantrell Counseling Incorporated |
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Speciality | Counselor |
Location | 1050 Larrabee Ave Ste 104, Bellingham, Washington |
Authorized Official Name and Position | Bridget C. Cantrell (OWNER) |
Authorized Official Contact | 3607141525 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cantrell Counseling Incorporated 1050 Larrabee Ave Pmb 714 Suite 104 Bellingham WA 98225-7367 Ph: (360) 714-1525 | Cantrell Counseling Incorporated 1050 Larrabee Ave Ste 104 Bellingham WA 98225-7367 Ph: (360) 714-1525 |
NPI Number | 1558088179 |
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Provider Enumeration Date | 10/25/2022 |
Last Update Date | 01/16/2024 |
Certification Date | 01/16/2024 |
Medicare PECOS PAC ID | 4284086109 |
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Medicare Enrollment ID | O20240116004466 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558088179 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Bridget Charmaine Cantrell |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1285856179 PECOS PAC ID: 5193177012 Enrollment ID: I20240117004868 |
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