| Shipowick-smith Counseling | |
|
326 N Miller St Wenatchee WA 98801-1906 | |
| (509) 667-0679 | |
| (509) 663-0441 |
| Full Name | Shipowick-smith Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 326 N Miller St, Wenatchee, Washington |
| Authorized Official Name and Position | Melissa Ann Payne (OWNER) |
| Authorized Official Contact | 5096670679 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shipowick-smith Counseling 326 N Miller St Wenatchee WA 98801-1906 Ph: (509) 667-0679 | Shipowick-smith Counseling 326 N Miller St Wenatchee WA 98801-1906 Ph: (509) 667-0679 |
| NPI Number | 1518398759 |
|---|---|
| Provider Enumeration Date | 12/12/2013 |
| Last Update Date | 08/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518398759 | NPI | - | NPPES |
| 1126911 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CP 60330224 (Washington) | Secondary |
| 101YM0800X | Counselor - Mental Health | LH 00006835 (Washington) | Primary |
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