Northeast Washington Alliance Counseling | |
165 E Hawthorne Avenue Colville WA 99114 | |
(509) 684-4597 | |
(509) 684-5286 |
Full Name | Northeast Washington Alliance Counseling |
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Speciality | Community/behavioral Health |
Location | 165 E Hawthorne Avenue, Colville, Washington |
Authorized Official Name and Position | Carrie L Hawkins (IT ANALYST) |
Authorized Official Contact | 5096844597 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Northeast Washington Alliance Counseling 165 E Hawthorne Avenue Colville WA 99114 Ph: (509) 684-4597 | Northeast Washington Alliance Counseling 165 E Hawthorne Avenue Colville WA 99114 Ph: (509) 684-4597 |
NPI Number | 1215285945 |
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Provider Enumeration Date | 08/28/2012 |
Last Update Date | 08/28/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215285945 | NPI | - | NPPES |
1991207 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 602861188 (Washington) | Primary |
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