Center For Family Development | |
1404 E 11th Ave Spokane WA 99202-3502 | |
(509) 443-6149 | |
(509) 443-1451 |
Full Name | Center For Family Development |
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Speciality | Counselor |
Location | 1404 E 11th Ave, Spokane, Washington |
Authorized Official Name and Position | Margaret Jill Madsen-kelly (PRESIDENT) |
Authorized Official Contact | 5097441117 |
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 Family Development 1404 E 11th Ave Spokane WA 99202-3502 Ph: (509) 443-6149 | Center For Family Development 1404 E 11th Ave Spokane WA 99202-3502 Ph: (509) 443-6149 |
NPI Number | 1609914803 |
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Provider Enumeration Date | 02/01/2007 |
Last Update Date | 04/02/2018 |
Medicare PECOS PAC ID | 9537422514 |
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Medicare Enrollment ID | O20180405000947 |
Identifier | Type | State | Issuer |
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1609914803 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Lindsay A Daehlin |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1407305840 PECOS PAC ID: 0042573057 Enrollment ID: I20180404000991 |
Provider Name | Shannon Eileen Mitchell |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1538675574 PECOS PAC ID: 4587927694 Enrollment ID: I20180424000036 |
Provider Name | Jonathan David Weber |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1255614012 PECOS PAC ID: 1254676190 Enrollment ID: I20181220000963 |
Provider Name | Sierra Marie Ramos |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1255720546 PECOS PAC ID: 0840622171 Enrollment ID: I20191107000759 |
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