| Diana Chan Counseling Pllc | |
|
793 Ericksen Ave Ne Ste 123 Bainbridge Island WA 98110-1877 | |
| (206) 207-5375 | |
| (206) 338-9906 |
| Full Name | Diana Chan Counseling Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 793 Ericksen Ave Ne Ste 123, Bainbridge Island, Washington |
| Authorized Official Name and Position | Wai Wun Diana Chan (THERAPIST) |
| Authorized Official Contact | 2063213203 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Chan Counseling Pllc 793 Ericksen Ave Ne Ste 123 Bainbridge Island WA 98110-1877 Ph: (206) 321-3203 | Diana Chan Counseling Pllc 793 Ericksen Ave Ne Ste 123 Bainbridge Island WA 98110-1877 Ph: (206) 207-5375 |
| NPI Number | 1679967186 |
|---|---|
| Provider Enumeration Date | 03/23/2015 |
| Last Update Date | 07/27/2023 |
| Certification Date | 07/27/2023 |
| Medicare PECOS PAC ID | 8628383395 |
|---|---|
| Medicare Enrollment ID | O20150811004133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679967186 | NPI | - | NPPES |
| Provider Name | Wai Wun Diana Chan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952552309 PECOS PAC ID: 5799099818 Enrollment ID: I20150804003092 |
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