Greater Lakes | |
9330 59th Ave Sw Lakewood WA 98499-2858 | |
(253) 620-5015 | |
Not Available |
Full Name | Greater Lakes |
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Speciality | Clinic/center - Adult Mental Health |
Location | 9330 59th Ave Sw, Lakewood, Washington |
Authorized Official Name and Position | Brian L Nicholson (RN) |
Authorized Official Contact | 2536205015 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Greater Lakes 9330 59th Ave Sw Tacoma WA 98499-2858 Ph: () - | Greater Lakes 9330 59th Ave Sw Lakewood WA 98499-2858 Ph: (253) 620-5015 |
NPI Number | 1972897320 |
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Provider Enumeration Date | 06/02/2011 |
Last Update Date | 06/02/2011 |
Identifier | Type | State | Issuer |
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1972897320 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Paul Kenneth Henry Med Lmhc Ps Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9101 Bridgeport Way Sw Ste D2, Lakewood, WA 98499 Phone: 253-394-6045 | |
Lakewood Wellness Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10310 Gravelly Lake Dr Sw Ste B, Lakewood, WA 98499 Phone: 253-888-3405 | |