Emily Tabor Counseling, Pllc | |
160 Nw Gilman Blvd Ste 443 Issaquah WA 98027-2550 | |
(206) 403-8527 | |
Not Available |
Full Name | Emily Tabor Counseling, Pllc |
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Speciality | Clinic/Center |
Location | 160 Nw Gilman Blvd Ste 443, Issaquah, Washington |
Authorized Official Name and Position | Emily Ann Tabor (LICSW, BUSINESS OWNER) |
Authorized Official Contact | 2064038527 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Emily Tabor Counseling, Pllc Po Box 1247 Maple Valley WA 98038-1247 Ph: (206) 403-8527 | Emily Tabor Counseling, Pllc 160 Nw Gilman Blvd Ste 443 Issaquah WA 98027-2550 Ph: (206) 403-8527 |
NPI Number | 1467029512 |
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Provider Enumeration Date | 06/08/2021 |
Last Update Date | 06/29/2021 |
Certification Date | 06/29/2021 |
Medicare PECOS PAC ID | 2365847035 |
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Medicare Enrollment ID | O20210818001191 |
Identifier | Type | State | Issuer |
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1467029512 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Emily Ann Tabor |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1841866373 PECOS PAC ID: 3274938949 Enrollment ID: I20210818001369 |
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