Jocelyn Tello Psyd Inc | |
400 E Evergreen Blvd Suite 313 Vancouver WA 98660-3331 | |
(360) 931-0605 | |
(360) 859-4533 |
Full Name | Jocelyn Tello Psyd Inc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 400 E Evergreen Blvd, Vancouver, Washington |
Authorized Official Name and Position | Jocelyn Tello (OWNER) |
Authorized Official Contact | 3609310605 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jocelyn Tello Psyd Inc 400 E Evergreen Blvd Suite 313 Vancouver WA 98660-3331 Ph: (360) 931-0605 | Jocelyn Tello Psyd Inc 400 E Evergreen Blvd Suite 313 Vancouver WA 98660-3331 Ph: (360) 931-0605 |
NPI Number | 1437572450 |
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Provider Enumeration Date | 01/27/2014 |
Last Update Date | 01/27/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437572450 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | PY00003900 (Washington) | Primary |
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