| Quileute Counseling And Recovery Mental Health | |
|
560 Quileute Heights Loop La Push WA 98350 | |
| (360) 374-3358 | |
| Not Available |
| Full Name | Quileute Counseling And Recovery Mental Health |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 560 Quileute Heights Loop, La Push, Washington |
| Authorized Official Name and Position | Gary Bryan Goodwin (BILLING AGENCY) |
| Authorized Official Contact | 3608670709 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Quileute Counseling And Recovery Mental Health Po Box 189 La Push WA 98350-0189 Ph: (360) 374-3358 | Quileute Counseling And Recovery Mental Health 560 Quileute Heights Loop La Push WA 98350 Ph: (360) 374-3358 |
| NPI Number | 1225596232 |
|---|---|
| Provider Enumeration Date | 03/08/2019 |
| Last Update Date | 03/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225596232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Quileute Counseling And Recovery Substance Use Disorder Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 560 Quileute Heights Loop, La Push, WA 98350 Phone: 360-374-3358 |