Center For Counseling & Psychotherapy Llc | |
1015 S. 40th Avenue Suite 21-23 Yakima WA 98908-3806 | |
(509) 966-7246 | |
(509) 966-5731 |
Full Name | Center For Counseling & Psychotherapy Llc |
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Speciality | Psychologist |
Location | 1015 S. 40th Avenue, Yakima, Washington |
Authorized Official Name and Position | Duane T Dolliver (OWNER) |
Authorized Official Contact | 5099667246 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Center For Counseling & Psychotherapy Llc 1015 S. 40th Avenue Suite 21-23 Yakima WA 98908-3806 Ph: (509) 966-7246 | Center For Counseling & Psychotherapy Llc 1015 S. 40th Avenue Suite 21-23 Yakima WA 98908-3806 Ph: (509) 966-7246 |
NPI Number | 1861663684 |
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Provider Enumeration Date | 03/19/2008 |
Last Update Date | 10/04/2021 |
Certification Date | 10/04/2021 |
Medicare PECOS PAC ID | 1052471240 |
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Medicare Enrollment ID | O20081118000385 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861663684 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101Y00000X | Counselor | 601922782 (Washington) | Secondary |
103TC1900X | Psychologist - Counseling | 601922782 (Washington) | Primary |
Provider Name | Stephen A Younker |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1144389529 PECOS PAC ID: 0840350039 Enrollment ID: I20081118000570 |
Provider Name | Carly A Mankus |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1770863987 PECOS PAC ID: 8820328073 Enrollment ID: I20191001002115 |
Provider Name | Duane Dolliver |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1518043900 PECOS PAC ID: 7113087305 Enrollment ID: I20240203000409 |
Provider Name | Taylor E Klein |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1679956254 PECOS PAC ID: 5092111864 Enrollment ID: I20240323000116 |
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