Insight Counseling Vancouver Pllc | |
10000 Ne 7th Ave Vancouver WA 98685-4599 | |
(360) 797-5567 | |
Not Available |
Full Name | Insight Counseling Vancouver Pllc |
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Speciality | Community/Behavioral Health |
Location | 10000 Ne 7th Ave, Vancouver, Washington |
Authorized Official Name and Position | Jeffrey Alan Knight (OWNER) |
Authorized Official Contact | 3609013033 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Insight Counseling Vancouver Pllc Po Box 820612 Vancouver WA 98682-0013 Ph: (360) 797-5567 | Insight Counseling Vancouver Pllc 10000 Ne 7th Ave Vancouver WA 98685-4599 Ph: (360) 797-5567 |
NPI Number | 1487286639 |
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Provider Enumeration Date | 02/05/2020 |
Last Update Date | 02/05/2020 |
Certification Date | 02/05/2020 |
Medicare PECOS PAC ID | 1850721507 |
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Medicare Enrollment ID | O20200420002321 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487286639 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Jeffrey A Knight |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1114396025 PECOS PAC ID: 2961703400 Enrollment ID: I20151229000630 |
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