| Fern Haven Center | |
|
5721 Libby Rd Ne Olympia WA 98506-1929 | |
| (360) 754-1600 | |
| (360) 754-4452 |
| Full Name | Fern Haven Center |
|---|---|
| Speciality | Counselor |
| Location | 5721 Libby Rd Ne, Olympia, Washington |
| Authorized Official Name and Position | Rod Davis (DIRECTOR) |
| Authorized Official Contact | 3607541600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fern Haven Center 5721 Libby Rd Ne Olympia WA 98506-1929 Ph: (360) 754-1600 | Fern Haven Center 5721 Libby Rd Ne Olympia WA 98506-1929 Ph: (360) 754-1600 |
| NPI Number | 1114044690 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114044690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | RC00046950 (Washington) | Primary |
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