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11042 Sr 525 Suite 206 Clinton WA 98236-8600 | |
| (360) 341-4484 | |
| (866) 627-8142 |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 11042 Sr 525, Clinton, Washington |
| Authorized Official Name and Position | Faulder Colby (OWNER/SOLE MEMBER) |
| Authorized Official Contact | 3603414484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 439 Clinton WA 98236-0439 Ph: (360) 341-4484 | 11042 Sr 525 Suite 206 Clinton WA 98236-8600 Ph: (360) 341-4484 |
| NPI Number | 1518231893 |
|---|---|
| Provider Enumeration Date | 03/03/2012 |
| Last Update Date | 11/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518231893 | NPI | - | NPPES |
| DT0357 | Other | WA | RAILROAD MEDICARE PIN |
| 2017481 | Medicaid | WA |
Compassionate Journeys Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6442 Central Ave Ste A, Clinton, WA 98236 Phone: 360-559-1530 |