John O'neill, Licsw, Pllc | |
7 S Howard St Ste 428 Spokane WA 99201-3816 | |
(509) 993-3555 | |
Not Available |
Full Name | John O'neill, Licsw, Pllc |
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Speciality | Clinic/Center |
Location | 7 S Howard St Ste 428, Spokane, Washington |
Authorized Official Name and Position | John O'neill (OWNER) |
Authorized Official Contact | 5099933555 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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John O'neill, Licsw, Pllc 2416 S Monroe St Spokane WA 99203-1271 Ph: (509) 993-3555 | John O'neill, Licsw, Pllc 7 S Howard St Ste 428 Spokane WA 99201-3816 Ph: (509) 993-3555 |
NPI Number | 1366108292 |
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Provider Enumeration Date | 11/15/2021 |
Last Update Date | 11/15/2021 |
Certification Date | 11/15/2021 |
Medicare PECOS PAC ID | 1759737422 |
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Medicare Enrollment ID | O20231101001222 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366108292 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Provider Name | John C O'neill |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1376978353 PECOS PAC ID: 2567693500 Enrollment ID: I20140315000252 |
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