Mcs Counseling Group Llc | |
9633 Levin Rd Nw Suite 100 Silverdale WA 98383-8131 | |
(360) 698-5883 | |
(360) 698-5048 |
Full Name | Mcs Counseling Group Llc |
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Speciality | Counselor |
Location | 9633 Levin Rd Nw, Silverdale, Washington |
Authorized Official Name and Position | Julie Canterbury (OWNER) |
Authorized Official Contact | 3606985883 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mcs Counseling Group Llc 9633 Levin Rd Nw Suite 100 Silverdale WA 98383-8131 Ph: () - | Mcs Counseling Group Llc 9633 Levin Rd Nw Suite 100 Silverdale WA 98383-8131 Ph: (360) 698-5883 |
NPI Number | 1740727494 |
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Provider Enumeration Date | 01/19/2017 |
Last Update Date | 11/14/2023 |
Certification Date | 11/14/2023 |
Medicare PECOS PAC ID | 8224485131 |
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Medicare Enrollment ID | O20231115001254 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740727494 | NPI | - | NPPES |
2080351 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LH00010790 (Washington) | Primary |
Provider Name | Gillian Nicole Farrell |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1871153650 PECOS PAC ID: 8628425535 Enrollment ID: I20231115001454 |
Provider Name | Rebecca Marie Williams |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1447625728 PECOS PAC ID: 6901255447 Enrollment ID: I20231211000155 |
Provider Name | Julie Canterbury |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1982035176 PECOS PAC ID: 1850748765 Enrollment ID: I20240102000220 |
Provider Name | Matthew Poinsett |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1811365497 PECOS PAC ID: 8921459702 Enrollment ID: I20240105001111 |
Provider Name | Amie Maude Greist |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1417462615 PECOS PAC ID: 9931550530 Enrollment ID: I20240108005731 |
Provider Name | Judson Austin Haynes |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1346650298 PECOS PAC ID: 5698126704 Enrollment ID: I20240112001161 |
Provider Name | Nicholas Niemann |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1073984035 PECOS PAC ID: 5092166140 Enrollment ID: I20240112002460 |
Provider Name | Sara Ingrid Odash |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1528541281 PECOS PAC ID: 8325499478 Enrollment ID: I20240112002549 |
Provider Name | Kaitlyn Kristy Speer |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1841758513 PECOS PAC ID: 9537502075 Enrollment ID: I20240212002222 |
Provider Name | Christie Green |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1154801538 PECOS PAC ID: 2466895826 Enrollment ID: I20240213002293 |
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