New Family Counseling | |
358 E Birch Ave 101 Colville WA 99114-2762 | |
(509) 684-3200 | |
(509) 684-1908 |
Full Name | New Family Counseling |
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Speciality | Psychologist |
Location | 358 E Birch Ave, Colville, Washington |
Authorized Official Name and Position | Clark D. Ashworth (PRESIDENT/PSYCHOLOGIST) |
Authorized Official Contact | 5096843200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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New Family Counseling 358 E. Birch 101 Colville WA 99114-2762 Ph: (509) 684-3200 | New Family Counseling 358 E Birch Ave 101 Colville WA 99114-2762 Ph: (509) 684-3200 |
NPI Number | 1932471653 |
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Provider Enumeration Date | 01/27/2012 |
Last Update Date | 01/27/2012 |
Medicare PECOS PAC ID | 7315105244 |
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Medicare Enrollment ID | O20120223000811 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932471653 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 1026 (Washington) | Primary |
Provider Name | Clark D Ashworth |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1558409219 PECOS PAC ID: 1557529484 Enrollment ID: I20120223000866 |
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