| Northwest Brief Therapy Training Center | |
|
1021 Legion Way Se Olympia WA 98501-1522 | |
| (360) 754-8540 | |
| (360) 486-0116 |
| Full Name | Northwest Brief Therapy Training Center |
|---|---|
| Speciality | Psychologist |
| Location | 1021 Legion Way Se, Olympia, Washington |
| Authorized Official Name and Position | Stephen Marc Langer (PRESIDENT) |
| Authorized Official Contact | 3607548540 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Brief Therapy Training Center 1021 Legion Way Se Olympia WA 98501-1522 Ph: (360) 754-8540 | Northwest Brief Therapy Training Center 1021 Legion Way Se Olympia WA 98501-1522 Ph: (360) 754-8540 |
| NPI Number | 1164645842 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 01/19/2024 |
| Certification Date | 01/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164645842 | NPI | - | NPPES |
| 7079205 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY00000929 (Washington) | Primary |
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