| Sundance Counseling Llc | |
|
17007 11th Pl W Lynnwood WA 98037-3342 | |
| (269) 720-6947 | |
| (269) 443-2166 |
| Full Name | Sundance Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 17007 11th Pl W, Lynnwood, Washington |
| Authorized Official Name and Position | Bridget Bracken (BILLING MANAGER) |
| Authorized Official Contact | 2489391762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sundance Counseling Llc 17007 11th Pl W Lynnwood WA 98037-3342 Ph: (269) 720-6947 | Sundance Counseling Llc 17007 11th Pl W Lynnwood WA 98037-3342 Ph: (269) 720-6947 |
| NPI Number | 1730728049 |
|---|---|
| Provider Enumeration Date | 01/03/2020 |
| Last Update Date | 10/17/2023 |
| Certification Date | 10/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730728049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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