| Dov Wills | |
|
2614 145th St Sw Lynnwood WA 98087-5948 | |
| (206) 459-2879 | |
| Not Available |
| Full Name | Dov Wills |
|---|---|
| Speciality | Counselor |
| Location | 2614 145th St Sw, Lynnwood, Washington |
| Authorized Official Name and Position | Dov Wills (OWNER) |
| Authorized Official Contact | 2064592879 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dov Wills 2614 145th St Sw Lynnwood WA 98087-5948 Ph: (206) 459-2879 | Dov Wills 2614 145th St Sw Lynnwood WA 98087-5948 Ph: (206) 459-2879 |
| NPI Number | 1376310425 |
|---|---|
| Provider Enumeration Date | 12/08/2023 |
| Last Update Date | 02/04/2024 |
| Certification Date | 02/04/2024 |
| Medicare PECOS PAC ID | 0244671022 |
|---|---|
| Medicare Enrollment ID | O20240510000714 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376310425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Dov Wills |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134279649 PECOS PAC ID: 6103267901 Enrollment ID: I20240510001735 |
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