| Swinomish Tribal Community | |
|
17395 Reservation Rd La Conner WA 98257-8802 | |
| (360) 466-1275 | |
| (360) 466-7301 |
| Full Name | Swinomish Tribal Community |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 17395 Reservation Rd, La Conner, Washington |
| Authorized Official Name and Position | Mark Backlund (DIRECTOR) |
| Authorized Official Contact | 3604661275 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Swinomish Tribal Community Po Box 388 La Conner WA 98257-0388 Ph: (360) 466-1275 | Swinomish Tribal Community 17395 Reservation Rd La Conner WA 98257-8802 Ph: (360) 466-1275 |
| NPI Number | 1700081775 |
|---|---|
| Provider Enumeration Date | 06/19/2007 |
| Last Update Date | 08/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700081775 | NPI | - | NPPES |
| 1981281 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Washington) | Primary |
Swinomish Wellness Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17337 Reservation Rd, La Conner, WA 98257 Phone: 360-466-1024 Fax: 360-466-7634 | |
Clinical And Neuropsychological Services, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 87 Swinomish Dr, La Conner, WA 98257 Phone: 206-321-9391 |