| Fountaingate Wellness Pllc | |
|
1106 Columbia Ave Ste 100 Marysville WA 98270-4311 | |
| (360) 653-0374 | |
| Not Available |
| Full Name | Fountaingate Wellness Pllc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1106 Columbia Ave Ste 100, Marysville, Washington |
| Authorized Official Name and Position | Scott D Wykes (OWNER) |
| Authorized Official Contact | 3606530374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fountaingate Wellness Pllc 1106 Columbia Ave Ste 100 Marysville WA 98270-4311 Ph: () - | Fountaingate Wellness Pllc 1106 Columbia Ave Ste 100 Marysville WA 98270-4311 Ph: (360) 653-0374 |
| NPI Number | 1407501364 |
|---|---|
| Provider Enumeration Date | 02/18/2022 |
| Last Update Date | 02/18/2022 |
| Certification Date | 02/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407501364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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