| Intergenerational Healing And Wellness Collective | |
|
1400 W Washington St Ste 24 Sequim WA 98382-3236 | |
| (360) 590-1659 | |
| Not Available |
| Full Name | Intergenerational Healing And Wellness Collective |
|---|---|
| Speciality | Social Worker |
| Location | 1400 W Washington St Ste 24, Sequim, Washington |
| Authorized Official Name and Position | Naeemah Johnson (OWNER) |
| Authorized Official Contact | 3605901659 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Intergenerational Healing And Wellness Collective 1400 W Washington St Ste 24 Sequim WA 98382-3236 Ph: (360) 590-1659 | Intergenerational Healing And Wellness Collective 1400 W Washington St Ste 24 Sequim WA 98382-3236 Ph: (360) 590-1659 |
| NPI Number | 1568143592 |
|---|---|
| Provider Enumeration Date | 07/31/2023 |
| Last Update Date | 07/31/2023 |
| Certification Date | 07/31/2023 |
| Medicare PECOS PAC ID | 3274978275 |
|---|---|
| Medicare Enrollment ID | O20240229002403 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568143592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Naeemah Efuru-munirah Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316210313 PECOS PAC ID: 9931517828 Enrollment ID: I20210819001891 |
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