| Nisqually Indian Tribe | |
|
10747 Todtkarle Rd Se Olympia WA 98513-9286 | |
| (360) 456-5221 | |
| Not Available |
| Full Name | Nisqually Indian Tribe |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 10747 Todtkarle Rd Se, Olympia, Washington |
| Authorized Official Name and Position | Cynthia Iyall (CENTER ADMINISTRATOR) |
| Authorized Official Contact | 3604565221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nisqually Indian Tribe 4820 She Nah Num Dr Se Olympia WA 98513-9105 Ph: (360) 456-5221 | Nisqually Indian Tribe 10747 Todtkarle Rd Se Olympia WA 98513-9286 Ph: (360) 456-5221 |
| NPI Number | 1609612670 |
|---|---|
| Provider Enumeration Date | 07/08/2024 |
| Last Update Date | 07/08/2024 |
| Certification Date | 07/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609612670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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