| Rainier Compassionate Counseling | |
|
22216 Se 272nd St Maple Valley WA 98038-7420 | |
| (425) 429-8031 | |
| Not Available |
| Full Name | Rainier Compassionate Counseling |
|---|---|
| Speciality | Psychologist |
| Location | 22216 Se 272nd St, Maple Valley, Washington |
| Authorized Official Name and Position | Amanda Jane Rosenkoetter (OWNER) |
| Authorized Official Contact | 4254138031 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rainier Compassionate Counseling 22216 Se 272nd St Maple Valley WA 98038-7420 Ph: (425) 429-8031 | Rainier Compassionate Counseling 22216 Se 272nd St Maple Valley WA 98038-7420 Ph: (425) 429-8031 |
| NPI Number | 1942740378 |
|---|---|
| Provider Enumeration Date | 03/04/2017 |
| Last Update Date | 06/27/2017 |
| Medicare PECOS PAC ID | 1850669615 |
|---|---|
| Medicare Enrollment ID | O20170620000966 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942740378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY60484482 (Washington) | Primary |
| Provider Name | Amanda J Rosenkoetter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689857054 PECOS PAC ID: 9133436272 Enrollment ID: I20150922001406 |
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