| Introspective Counseling Services, Llc | |
|
6320 Evergreen Way Ste 213 Everett WA 98203-4561 | |
| (916) 801-8351 | |
| Not Available |
| Full Name | Introspective Counseling Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6320 Evergreen Way Ste 213, Everett, Washington |
| Authorized Official Name and Position | Shawnti Johnson (MEMBER) |
| Authorized Official Contact | 9168018351 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Introspective Counseling Services, Llc 6320 Evergreen Way Ste 213 Everett WA 98203-4561 Ph: (916) 801-8351 | Introspective Counseling Services, Llc 6320 Evergreen Way Ste 213 Everett WA 98203-4561 Ph: (916) 801-8351 |
| NPI Number | 1649794686 |
|---|---|
| Provider Enumeration Date | 08/01/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649794686 | NPI | - | NPPES |
| SC60527686 | Other | WA | LICENSED SOCIAL WORK ASSOCIATE INDEPENDENT CLINICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | SC60527686 (Washington) | Primary |
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