| Crysalis Counseling & Associates Pllc | |
|
1801 W Bay Dr Nw Ste 208a Olympia WA 98502-4314 | |
| (360) 357-7446 | |
| (360) 252-7320 |
| Full Name | Crysalis Counseling & Associates Pllc |
|---|---|
| Speciality | Counselor |
| Location | 1801 W Bay Dr Nw Ste 208a, Olympia, Washington |
| Authorized Official Name and Position | Julie Christine Mcinnis (APPROVED CLINICAL SUPERVISOR) |
| Authorized Official Contact | 3603577446 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crysalis Counseling & Associates Pllc 1801 W Bay Dr Nw Ste 208a Olympia WA 98502-4314 Ph: (360) 357-7446 | Crysalis Counseling & Associates Pllc 1801 W Bay Dr Nw Ste 208a Olympia WA 98502-4314 Ph: (360) 357-7446 |
| NPI Number | 1578270930 |
|---|---|
| Provider Enumeration Date | 11/03/2022 |
| Last Update Date | 11/03/2022 |
| Certification Date | 11/03/2022 |
| Medicare PECOS PAC ID | 4385087857 |
|---|---|
| Medicare Enrollment ID | O20240212003257 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578270930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Julie Christine Mcinnis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942501788 PECOS PAC ID: 5294178760 Enrollment ID: I20240213001051 |
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