Mindful, Inc | |
2403 Broadway St Vancouver WA 98663-3228 | |
(360) 567-4595 | |
(360) 213-1816 |
Full Name | Mindful, Inc |
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Speciality | Social Worker - Clinical |
Location | 2403 Broadway St, Vancouver, Washington |
Authorized Official Name and Position | Judith Ann Canter (MANAGER) |
Authorized Official Contact | 3605674595 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mindful, Inc Po Box 923 La Center WA 98629-0923 Ph: (360) 567-4595 | Mindful, Inc 2403 Broadway St Vancouver WA 98663-3228 Ph: (360) 567-4595 |
NPI Number | 1932307683 |
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Provider Enumeration Date | 07/04/2007 |
Last Update Date | 12/26/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932307683 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LW00009073 (Washington) | Primary |
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