| Recenter Self | |
|
310 3rd Ave Ne Ste 109 Issaquah WA 98027-3346 | |
| (206) 437-0178 | |
| Not Available |
| Full Name | Recenter Self |
|---|---|
| Speciality | Counselor |
| Location | 310 3rd Ave Ne Ste 109, Issaquah, Washington |
| Authorized Official Name and Position | Timmber Miles (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2064370178 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Recenter Self 310 3rd Ave Ne Ste 109 Issaquah WA 98027-3346 Ph: (206) 437-0178 | Recenter Self 310 3rd Ave Ne Ste 109 Issaquah WA 98027-3346 Ph: (206) 437-0178 |
| NPI Number | 1619595311 |
|---|---|
| Provider Enumeration Date | 07/09/2020 |
| Last Update Date | 07/09/2020 |
| Certification Date | 07/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619595311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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