| Evergreen Counseling Center | |
|
205 8th St Hoquiam WA 98550-2507 | |
| (360) 538-9227 | |
| (360) 532-8786 |
| Full Name | Evergreen Counseling Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 205 8th St, Hoquiam, Washington |
| Authorized Official Name and Position | Chip Deitrich (CHEIF FINANCIAL OFFICER) |
| Authorized Official Contact | 3605389227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Counseling Center 205 8th St Hoquiam WA 98550-2507 Ph: (360) 538-9227 | Evergreen Counseling Center 205 8th St Hoquiam WA 98550-2507 Ph: (360) 538-9227 |
| NPI Number | 1306982434 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306982434 | NPI | - | NPPES |
| 7067499 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Washington) | Primary |
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