| Picket Fene Therapy & Consulting, Llc | |
|
105b W Main Ste 105 Puyallup WA 98371-5329 | |
| (253) 310-6226 | |
| (253) 604-4098 |
| Full Name | Picket Fene Therapy & Consulting, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 105b W Main Ste 105, Puyallup, Washington |
| Authorized Official Name and Position | Teresa M Eltrich (CEO, THERAPIST) |
| Authorized Official Contact | 2533106226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Picket Fene Therapy & Consulting, Llc 11515 Burnham Dr Gig Harbor WA 98332-8543 Ph: (253) 310-6226 | Picket Fene Therapy & Consulting, Llc 105b W Main Ste 105 Puyallup WA 98371-5329 Ph: (253) 310-6226 |
| NPI Number | 1558877696 |
|---|---|
| Provider Enumeration Date | 12/27/2017 |
| Last Update Date | 12/20/2021 |
| Certification Date | 12/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558877696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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