Mariposa Counseling Pllc | |
19125 N Creek Pkwy Ste 149 Bothell WA 98011-8018 | |
(425) 364-9796 | |
Not Available |
Full Name | Mariposa Counseling Pllc |
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Speciality | Social Worker |
Location | 19125 N Creek Pkwy Ste 149, Bothell, Washington |
Authorized Official Name and Position | Nora Riley Faram (OWNER) |
Authorized Official Contact | 4253649796 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mariposa Counseling Pllc 19125 N Creek Pkwy Ste 149 Bothell WA 98011-8018 Ph: (425) 364-9796 | Mariposa Counseling Pllc 19125 N Creek Pkwy Ste 149 Bothell WA 98011-8018 Ph: (425) 364-9796 |
NPI Number | 1114651130 |
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Provider Enumeration Date | 07/14/2022 |
Last Update Date | 07/14/2022 |
Certification Date | 07/14/2022 |
Medicare PECOS PAC ID | 4587030044 |
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Medicare Enrollment ID | O20221025001147 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114651130 | NPI | - | NPPES |
1235566886 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Nora R Faram |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1235566886 PECOS PAC ID: 6608002464 Enrollment ID: I20131126001823 |
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