| Rustad Counseling, Llc | |
|
56 N College Ave Unit 2 College Place WA 99324-1048 | |
| (509) 730-9894 | |
| Not Available |
| Full Name | Rustad Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 56 N College Ave Unit 2, College Place, Washington |
| Authorized Official Name and Position | Natasha Rustad (OWNER/PROVIDER) |
| Authorized Official Contact | 5097309894 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rustad Counseling, Llc Po Box 3192 Walla Walla WA 99362-0366 Ph: (509) 730-9894 | Rustad Counseling, Llc 56 N College Ave Unit 2 College Place WA 99324-1048 Ph: (509) 730-9894 |
| NPI Number | 1336827914 |
|---|---|
| Provider Enumeration Date | 07/05/2023 |
| Last Update Date | 07/05/2023 |
| Certification Date | 07/05/2023 |
| Medicare PECOS PAC ID | 7517311210 |
|---|---|
| Medicare Enrollment ID | O20230929000230 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336827914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Natasha Anne Rustad |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871676445 PECOS PAC ID: 6800054917 Enrollment ID: I20150507001973 |
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