| Pashaplum Counseling Pllc | |
|
22722 29th Dr Se Ste 100 Bothell WA 98021-4420 | |
| (425) 312-2512 | |
| Not Available |
| Full Name | Pashaplum Counseling Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 22722 29th Dr Se Ste 100, Bothell, Washington |
| Authorized Official Name and Position | Pasha Plum Grant (OWNER) |
| Authorized Official Contact | 5209915305 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pashaplum Counseling Pllc 19005 103rd Ave Ne Bothell WA 98011-2905 Ph: (520) 991-5305 | Pashaplum Counseling Pllc 22722 29th Dr Se Ste 100 Bothell WA 98021-4420 Ph: (425) 312-2512 |
| NPI Number | 1750807897 |
|---|---|
| Provider Enumeration Date | 08/21/2017 |
| Last Update Date | 05/23/2018 |
| Medicare PECOS PAC ID | 9436413978 |
|---|---|
| Medicare Enrollment ID | O20180508002486 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750807897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Pasha P Grant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699163584 PECOS PAC ID: 1951684026 Enrollment ID: I20170215002275 |
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