| Dragonfly Counseling Pllc | |
|
920 6th St Clarkston WA 99403-2079 | |
| (509) 254-5053 | |
| (509) 769-3500 |
| Full Name | Dragonfly Counseling Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 920 6th St, Clarkston, Washington |
| Authorized Official Name and Position | Andrea L Charles (OWNER/CLINICIAN) |
| Authorized Official Contact | 5092545053 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dragonfly Counseling Pllc Po Box 2031 Clarkston WA 99403-4031 Ph: (509) 254-5053 | Dragonfly Counseling Pllc 920 6th St Clarkston WA 99403-2079 Ph: (509) 254-5053 |
| NPI Number | 1730607854 |
|---|---|
| Provider Enumeration Date | 09/08/2017 |
| Last Update Date | 02/07/2024 |
| Certification Date | 02/07/2024 |
| Medicare PECOS PAC ID | 8224395090 |
|---|---|
| Medicare Enrollment ID | O20171204000692 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730607854 | NPI | - | NPPES |
| 1235554668 | Other | WA | PERSONAL NPI |
| 1396368668 | Other | WA | PERSONAL NPI |
| 1730529165 | Other | PERSONAL NPI |
| Provider Name | Andrea L Charles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730529165 PECOS PAC ID: 8729377734 Enrollment ID: I20171204000774 |
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