Cicero Counseling And Forensic Evaluation Llc | |
402 E Yakima Ave Ste 800 Yakima WA 98901-5410 | |
(253) 831-3852 | |
(509) 457-2756 |
Full Name | Cicero Counseling And Forensic Evaluation Llc |
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Speciality | Clinic/Center |
Location | 402 E Yakima Ave Ste 800, Yakima, Washington |
Authorized Official Name and Position | Julie K Cicero (PRESIDENT) |
Authorized Official Contact | 2538313852 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cicero Counseling And Forensic Evaluation Llc 5110 Bitterroot Way Yakima WA 98908-2638 Ph: (253) 831-3852 | Cicero Counseling And Forensic Evaluation Llc 402 E Yakima Ave Ste 800 Yakima WA 98901-5410 Ph: (253) 831-3852 |
NPI Number | 1750915021 |
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Provider Enumeration Date | 02/26/2020 |
Last Update Date | 02/26/2020 |
Certification Date | 02/26/2020 |
Medicare PECOS PAC ID | 2769818871 |
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Medicare Enrollment ID | O20200430001445 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750915021 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Julie K Cicero |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1962657031 PECOS PAC ID: 4183788029 Enrollment ID: I20090121000648 |
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