| Childrens Mental Health And Parenting Support Pllc | |
|
6715 Ne 63rd St Ste 103-268 Vancouver WA 98661-1980 | |
| (360) 784-0559 | |
| Not Available |
| Full Name | Childrens Mental Health And Parenting Support Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6715 Ne 63rd St Ste 103-268, Vancouver, Washington |
| Authorized Official Name and Position | Rebecca Glose (SOLE MEMBER) |
| Authorized Official Contact | 3607840559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Childrens Mental Health And Parenting Support Pllc 6715 Ne 63rd St Ste 103-268 Vancouver WA 98661-1980 Ph: (360) 784-0559 | Childrens Mental Health And Parenting Support Pllc 6715 Ne 63rd St Ste 103-268 Vancouver WA 98661-1980 Ph: (360) 784-0559 |
| NPI Number | 1720785660 |
|---|---|
| Provider Enumeration Date | 02/10/2023 |
| Last Update Date | 02/10/2023 |
| Certification Date | 02/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720785660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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