| Common Ground Counseling Ltd. | |
|
1116 Key St Suite 203 Bellingham WA 98225-5232 | |
| (360) 920-8121 | |
| Not Available |
| Full Name | Common Ground Counseling Ltd. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1116 Key St, Bellingham, Washington |
| Authorized Official Name and Position | Michael Daniel Powers (SOLE SHAREHOLDER) |
| Authorized Official Contact | 3609208121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Common Ground Counseling Ltd. 1116 Key St Suite 203 Bellingham WA 98225-5232 Ph: (360) 920-8121 | Common Ground Counseling Ltd. 1116 Key St Suite 203 Bellingham WA 98225-5232 Ph: (360) 920-8121 |
| NPI Number | 1932635414 |
|---|---|
| Provider Enumeration Date | 05/03/2017 |
| Last Update Date | 05/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932635414 | NPI | - | NPPES |
| 2038668 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LF60453276 (Washington) | Primary |
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