Columbia Basin Family Therapy, Llc | |
1619 W Octave St Pasco WA 99301-4045 | |
(509) 845-6270 | |
Not Available |
Full Name | Columbia Basin Family Therapy, Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1619 W Octave St, Pasco, Washington |
Authorized Official Name and Position | Jessica Infante-castro (OWNER/CLINICAL SUPERVISOR) |
Authorized Official Contact | 5098456270 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Columbia Basin Family Therapy, Llc 100 Walla Walla Ave Eltopia WA 99330-9611 Ph: (509) 845-6270 | Columbia Basin Family Therapy, Llc 1619 W Octave St Pasco WA 99301-4045 Ph: (509) 845-6270 |
NPI Number | 1962271239 |
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Provider Enumeration Date | 12/27/2023 |
Last Update Date | 12/27/2023 |
Certification Date | 12/27/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962271239 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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