| Northwest Mental Health Net | |
|
310 N. Meridian Suite 204 Puyallup WA 98371 | |
| (253) 332-0508 | |
| Not Available |
| Full Name | Northwest Mental Health Net |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 310 N. Meridian Suite 204, Puyallup, Washington |
| Authorized Official Name and Position | Lindsey Wilson Nickell (OWNER) |
| Authorized Official Contact | 2533320508 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Mental Health Net 310 N. Meridian Suite 204 Puyallup WA 98371 Ph: () - | Northwest Mental Health Net 310 N. Meridian Suite 204 Puyallup WA 98371 Ph: (253) 332-0508 |
| NPI Number | 1306130448 |
|---|---|
| Provider Enumeration Date | 06/07/2011 |
| Last Update Date | 06/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306130448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MC 60164023 (Washington) | Primary |
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