| Serenity Point Counseling Services | |
|
705 W Rose St Ste 1 Walla Walla WA 99362-1762 | |
| (509) 529-6036 | |
| (509) 529-6038 |
| Full Name | Serenity Point Counseling Services |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 705 W Rose St Ste 1, Walla Walla, Washington |
| Authorized Official Name and Position | Patrick C Flores (PROGRAM MANAGER, OWNER) |
| Authorized Official Contact | 5095266036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Point Counseling Services 705 W Rose St Ste 1 Walla Walla WA 99362-1762 Ph: (509) 529-6036 | Serenity Point Counseling Services 705 W Rose St Ste 1 Walla Walla WA 99362-1762 Ph: (509) 529-6036 |
| NPI Number | 1790831600 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 10/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790831600 | NPI | - | NPPES |
| 4486 SE | Other | WA | REGENCE PROVIDER ID |
| 1994417 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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