Lantz & Associates Counseling, Llc | |
275 Se Cabot Dr B206 Oak Harbor WA 98277-3715 | |
(360) 499-4535 | |
Not Available |
Full Name | Lantz & Associates Counseling, Llc |
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Speciality | Social Worker |
Location | 275 Se Cabot Dr, Oak Harbor, Washington |
Authorized Official Name and Position | Nicole R Dipzinski (OWNER) |
Authorized Official Contact | 3604994535 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lantz & Associates Counseling, Llc 1692 Sw Waterside Ct Oak Harbor WA 98277-7147 Ph: (360) 499-4535 | Lantz & Associates Counseling, Llc 275 Se Cabot Dr B206 Oak Harbor WA 98277-3715 Ph: (360) 499-4535 |
NPI Number | 1407388283 |
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Provider Enumeration Date | 03/30/2017 |
Last Update Date | 03/30/2017 |
Medicare PECOS PAC ID | 9739456567 |
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Medicare Enrollment ID | O20170530001019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407388283 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LW 60542552 (Washington) | Primary |
Provider Name | Nicole Ruth Dipzinski |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1063953396 PECOS PAC ID: 0648547471 Enrollment ID: I20170530001110 |
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