| Makael White Pllc | |
|
447 25th Ave Longview WA 98632-1321 | |
| (206) 348-9385 | |
| Not Available |
| Full Name | Makael White Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 447 25th Ave, Longview, Washington |
| Authorized Official Name and Position | Makael Lee White (RELATIONAL ART THERAPIST/OWNER) |
| Authorized Official Contact | 2532903762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Makael White Pllc 447 25th Ave Longview WA 98632-1321 Ph: (206) 348-9385 | Makael White Pllc 447 25th Ave Longview WA 98632-1321 Ph: (206) 348-9385 |
| NPI Number | 1932939675 |
|---|---|
| Provider Enumeration Date | 08/06/2024 |
| Last Update Date | 08/06/2024 |
| Certification Date | 08/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932939675 | NPI | - | NPPES |
| 2250928 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| 221700000X | Art Therapist | (* (Not Available)) | Secondary |
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