| Sagebrush Counseling Pllc | |
|
316 W Boone Ave Spokane WA 99201-2354 | |
| (509) 242-7200 | |
| (509) 593-4676 |
| Full Name | Sagebrush Counseling Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 316 W Boone Ave, Spokane, Washington |
| Authorized Official Name and Position | Kandi Arnhold (ADMINISTRATION SERVICES) |
| Authorized Official Contact | 3607702955 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sagebrush Counseling Pllc 1702 W Main Ave Spokane WA 99201-1312 Ph: (509) 242-7200 | Sagebrush Counseling Pllc 316 W Boone Ave Spokane WA 99201-2354 Ph: (509) 242-7200 |
| NPI Number | 1073076469 |
|---|---|
| Provider Enumeration Date | 04/11/2019 |
| Last Update Date | 04/11/2019 |
| Medicare PECOS PAC ID | 3375877756 |
|---|---|
| Medicare Enrollment ID | O20190619002515 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073076469 | NPI | - | NPPES |
| LW60876605 | Other | WA | WA STATE DEPARTMENT OF LICENSING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sarah Ruth Kaiser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598188864 PECOS PAC ID: 4284968660 Enrollment ID: I20190619002916 |
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