Fourth Dimension Counseling, Inc. | |
472 Front St N Ste A Issaquah WA 98027-2965 | |
(425) 652-1690 | |
Not Available |
Full Name | Fourth Dimension Counseling, Inc. |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 472 Front St N Ste A, Issaquah, Washington |
Authorized Official Name and Position | Heidi M Kinsella (OWNER/CLINICAL DIRECTOR) |
Authorized Official Contact | 4256521690 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Fourth Dimension Counseling, Inc. 26044 Se 192nd St Maple Valley WA 98038-7900 Ph: (425) 301-8296 | Fourth Dimension Counseling, Inc. 472 Front St N Ste A Issaquah WA 98027-2965 Ph: (425) 652-1690 |
NPI Number | 1538732557 |
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Provider Enumeration Date | 07/19/2021 |
Last Update Date | 07/19/2021 |
Certification Date | 07/19/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538732557 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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