Nicole Hagerty Counseling Llc | |
16513 Ne 30th Ct Ridgefield WA 98642-8936 | |
(360) 562-0652 | |
Not Available |
Full Name | Nicole Hagerty Counseling Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 16513 Ne 30th Ct, Ridgefield, Washington |
Authorized Official Name and Position | Nicole Hagerty (OWNER) |
Authorized Official Contact | 3609014816 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Nicole Hagerty Counseling Llc 16513 Ne 30th Ct Ridgefield WA 98642-8936 Ph: (360) 901-4816 | Nicole Hagerty Counseling Llc 16513 Ne 30th Ct Ridgefield WA 98642-8936 Ph: (360) 562-0652 |
NPI Number | 1356901094 |
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Provider Enumeration Date | 06/15/2019 |
Last Update Date | 04/05/2024 |
Certification Date | 04/05/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356901094 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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