| Komo Kulshan Counseling Pllc | |
|
1155 N State St Ste 608 Bellingham WA 98225-5024 | |
| (360) 246-1072 | |
| (360) 246-1072 |
| Full Name | Komo Kulshan Counseling Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1155 N State St Ste 608, Bellingham, Washington |
| Authorized Official Name and Position | Lucille C Correa (PRESIDENT) |
| Authorized Official Contact | 3602242631 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Komo Kulshan Counseling Pllc 7762 Cascades Dr Maple Falls WA 98266-7713 Ph: (360) 920-4770 | Komo Kulshan Counseling Pllc 1155 N State St Ste 608 Bellingham WA 98225-5024 Ph: (360) 246-1072 |
| NPI Number | 1851857916 |
|---|---|
| Provider Enumeration Date | 02/13/2019 |
| Last Update Date | 02/13/2019 |
| Medicare PECOS PAC ID | 2062754864 |
|---|---|
| Medicare Enrollment ID | O20190426001183 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851857916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lucille C Correa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548676547 PECOS PAC ID: 0345524153 Enrollment ID: I20190426001243 |
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