| Otterson Counseling Ps | |
|
720 Main St Ste 224 Mount Vernon WA 98273-3830 | |
| (360) 631-8050 | |
| Not Available |
| Full Name | Otterson Counseling Ps |
|---|---|
| Speciality | Social Worker |
| Location | 720 Main St Ste 224, Mount Vernon, Washington |
| Authorized Official Name and Position | Elizabeth Ann Otterson (OWNER) |
| Authorized Official Contact | 3606310949 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Otterson Counseling Ps 19213 Soundview Dr Nw Stanwood WA 98292-7878 Ph: (360) 631-8050 | Otterson Counseling Ps 720 Main St Ste 224 Mount Vernon WA 98273-3830 Ph: (360) 631-8050 |
| NPI Number | 1922567759 |
|---|---|
| Provider Enumeration Date | 03/19/2019 |
| Last Update Date | 06/23/2022 |
| Certification Date | 06/23/2022 |
| Medicare PECOS PAC ID | 2567701329 |
|---|---|
| Medicare Enrollment ID | O20190222001549 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922567759 | NPI | - | NPPES |
| Provider Name | Elizabeth A Otterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881872240 PECOS PAC ID: 9537441910 Enrollment ID: I20170119000959 |
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